Severe post thermal burn cicatricial ectropion with corneal ulceration: an illustrative case.

Abstract

Management of postburn cicatricial ectroption of the upper lid is always a challenge for the oculoplastic surgeon, as they are often associated with exposure keratitis and ulceration. Traditionally, split thickness grafts have been described for upper lid reconstruction and tarsorrhaphies have been discouraged. We present a case of corneal ulceration associated with postburn cicatricial ectropion presenting 10 years following the initial trauma. The patient underwent full thickness skin grafting and tarsorrhaphy to release the ectropion with resolution of corneal ulceration. We believe that full thickness skin grafts and tarsorrhaphy are effective in correcting upper lid cicatricial ectropion, without functional compromise.

• Authors: B R Sharma, M Sharma
• Journal: JNMA; journal of the Nepal Medical Association (JNMA J Nepal Med Assoc) 2005 Jul-Sep Vol. 44 Issue 159 Pg. 102-5 ISSN: 0028-2715 [Print] Nepal
• PMID: 16554865 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Cicatrix (etiology, physiopathology, surgery)
• Corneal Ulcer (etiology, physiopathology, surgery)
• Ectropion (etiology, physiopathology, surgery)
• Esthetics
• Eye Burns (complications, diagnosis)
• Follow-Up Studies
• Graft Survival
• Humans
• Male
• Plastic Surgery Procedures (methods)
• Risk Assessment
• Severity of Illness Index
• Skin Transplantation (methods)
• Time Factors
• Treatment Outcome