title: Role of the lower lid retractors in involutional ectropion repair.
abstract: AIM. To outline the role of the lower lid retractors in correction of involutional ectropion. METHODS. Eight eyelids with a tarsal ectropion were included in the study. Clinical clues to help identify weakness of the lower lid retractors were documented. A transconjunctival lower lid retractor reattachment with concommitant correction of horizontal lid laxity and lamellar dissociation was performed. RESULTS. Stable eyelid position was obtained in 7 of the 8 cases. One case had a lateral ectropion due to a wound dehiscence. CONCLUSIONS. This small study helps better define the clinical presentations of retractor weakness and provides evidence of a systematic approach in correcting involutional ectropion.
authors.affiliation: Adnexal Service, Moorfields Eye Hospital, London, EC1V 2PD, England, U.K.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Shah-Desai
authors.forename: Richard
authors.initials: R
authors.lastname: Collin