title: Consecutive ectropion after the Wies procedure.
abstract: OBJECTIVE
  To describe the clinical features and management difficulties of the ectropions after Wies procedure for lower eyelid involutional entropion in 4 patients.
  
  
  METHODS
  Case series.
  
  
  RESULTS
  All ectropions had developed within 2 months of the Wies procedure. Common structural features with cicatricial contraction of the anterior lamella and buckling of the tarsal plates were evident. Maximal horizontal eyelid shortening and excision of anterior lamella scar tissue allowed correction.
  
  
  CONCLUSIONS
  Consecutive ectropion is caused by secondary cicatricial changes, which can be difficult to manage. Untreated horizontal laxity and postoperative scarring are likely contributory factors in its development. The authors recommend excision of anterior lamella scar tissue combined with large full-thickness wedge excision as an effective treatment.
authors.affiliation: Wolverhampton and Midland Counties Eye Infirmary, Compton Road, Wolverhampton, WV3 9XR, UK.
authors.forename: David
authors.initials: D
authors.lastname: Cheung
authors.forename: Soupramaniam
authors.initials: S
authors.lastname: Sandramouli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004483:Ectropion / Q000601:surgery; D004774:Entropion / Q000209:etiology*; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*