Surgical Management Of Ectropion At Tilganga Institute Of Ophthalmology

Purpose: To determine different types of surgical procedure and outcome done to treat ectropion. Methods: Retrospective, observational study from Jan 2017 to Dec 2019 was performed on consecutive patients undergone ectropion correction surgery. Follow up was done on day-one, one-week, one-month, three-months, six-months and one-year postoperatively. Single or combined procedure done was noted. Anatomic and functional success was reported. Potential complications were recorded. Results: Total 74 patients who fulfilled inclusion criteria, 45(60.81%) male and 29(39.19%) female, with the mean age of 59.82 ± 21.82 (range 11 - 94). 42(56.76%) had involutionalectropion, 14(18.92%) Paralytic, 17(22.97%) cicatricial and 1(1.35%) had Mechanical ectropion. Single or combined procedure - Lateral tarsal strip, Medial spindle, LIS, Lazy-T, Wedge resection, Tarsorrhaphy, 3-Snip Punctoplasty, scar release with FTSG were done to correct ectropion. Anatomic success was found in 6(8.11%), functional success in 6(8.11%) and both success in 62(83.78%). Undercorrection was found on paralytic ectropion cases in 10(13.50%). Recurrence was found on 6(8.10%). Conclusion: LTS was the most commonly done procedure. Single or combined procedure according to etiopathogenic cause gives good ectropion correction with patient satisfaction.