Is there any new treatments for entropions?

Question

I am 19 years old and have had recurrent entropions on both my bottom eye lids, I have had surgery to build up my tarsal plate in each eye with grafts from my pallet of my mouth and my ears. I have also had surgery to tighten my lower lids when the other two surgeries didn't work. Now this one hasn't worked and I was looking for answers as to what the next step might be!!

Any suggestions...

Answer 1

Your case of ectropion is probably moderately extensive. In this case, a full-thickness wedge resection may be indicated.

The full-thickness wedge removal technique involves taking a full-thickness triangular wedge out of lateral eyelid area. This procedure has a relatively high rate of dehiscence of the marginal portion of the incision. Close the conjunctiva first, using 6-0 absorbable suture and bury the knots under the conjunctiva; then close the skin with 4-0 or 5-0 silk; use a 'figure of 8' suture for the skin margin. May be wise to do a temporary tarsorrhaphy to minimize eyelid movement and stress on the incision site. Can use topical antibiotics and steroid afterwards, but probably unnecessary. Sutures removed in 10-14 days.

However, if the ectropion is severe and is complicated by notching or other malformation of the eyelid, considerable reconstructive surgery may be necessary. In this case, the patient should be referred to a specialist.