Conjunctival Resection in a Case of Severe Lower Eyelid Ectropion

DOI
  • OKADA Tomoyuki
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • SASAKI Kaoru
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • OSHIMA Junya
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • SASAKI Masahiro
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • AIHARA Yukiko
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • SHIBUYA Yoichiro
    Department of Plastic Surgery, School of Medicine, University of Tsukuba
  • SEKIDO Mitsuru
    Department of Plastic Surgery, School of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 重度下眼瞼外反に対して眼瞼結膜切除を行った１例

Abstract

<p> In cases of severe lower eyelid ectropion, the bulbar and palpebral conjunctivae become dry and thickened, undergoing histological changes that resemble the skin. This process is sometimes referred to as 'conjunctival metaplasia.' In this study, we present a case of severe lower eyelid ectropion and report on histological findings related to skin-like changes and the treatment.<br> Surgery was performed to remove the hard, skin-like surface of the palpebral conjunctivae to prevent corneal damage. Tarsal plate shortening and orbicularis oculi muscle shortening surgeries were performed to improve the horizontal laxity of the lower eyelid. Moreover, fixation of the lower eyelid retractors to the tarsal plate was performed to improve vertical tension.<br> The surgeries were effective in correcting ectropion, and corneal damage was prevented. Histologically, skin-like changes in the palpebral conjunctiva are different from those observed in conjunctival metaplasia.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390299705003987456
  • DOI
    10.57414/jjpnprs.44.3_110
  • ISSN
    2758271X
    03894703
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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