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Cicatricial Ectropion Correction using Autologous Skin Graft after Surgery for Blowout Fracture
Ann Optom Contact Lens 2018;17:74-76
Published online September 25, 2018
© 2018 The Korean Optometry & Contact Lens Study Society

Sukyeon Lee, MD, Sungwon Yang, MD, Jinhwan Park, MD, PhD, Hwa Lee, MD, PhD, Sehyun Baek, MD, PhD

Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, Seoul, Korea
Correspondence to: Sehyun Baek, MD, PhD
Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, #148 Gurodong-ro , Guro-gu, Seoul 08308, Korea
Tel: 82-2-2626-1260, Fax: 82-2-857-8580
E-mail: shbaek6534@korea.ac.kr
Received June 19, 2018; Revised July 27, 2018; Accepted July 31, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: Cicatricial ectropion is caused by shortening of the anterior lamella, which is comprised of the skin and orbicularis muscle. There is a much higher incidence of ectropion after blowout fracture surgery that applies subciliary incisions than the transconjunctival approach. We report a case of lower lid cicatricial ectropion following blowout fracture reconstruction that was performed through subciliary incision and was successfully repaired by an autologous skin graft.
Case summary: A 27-year-old man presented with right lower eyelid ectropion following surgery for a blowout fracture on the right inferior wall. The blow-out fracture had been reconstructed via a subciliary incision one year ago, by a plastic surgeon. His cicatricial ectropion was corrected through autologous skin graft from his left upper eyelid with a lateral tarsal strip procedure. The autologous skin graft successfully replenished the lower lid tissue defect, and the patient did not experience lid retraction or ectropion at 9 months after surgery. There were no postoperative complications on his left upper eyelid, which was the donor site for the autologous skin graft.
Conclusions: Surgical repair with an autologous skin graft from the contralateral upper eyelid is an effective procedure for managing cicatricial ectropion following surgery or trauma in young patients.
Keywords : Cicatricial ectropion; Skin graft; Subciliary incision


September 2018, 17 (3)