A Case of Acute Idiopathic Bilateral Lower lid Ectropion

Chang Min Lee; Mi Sun Kwak; Dae Jin Park

doi:10.3341/jkos.2010.51.1.126

Journal List > J Korean Ophthalmol Soc > v.51(1) > 1008646

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Lee, Kwak, and Park: A Case of Acute Idiopathic Bilateral Lower lid Ectropion

Original Article

J Korean Ophthalmol Soc 2010;51(1):126-130.

Published online: 7 September 2010

DOI: https://doi.org/10.3341/jkos.2010.51.1.126

A Case of Acute Idiopathic Bilateral Lower lid Ectropion

Chang Min Lee, MD, Mi Sun Kwak, MD, PhD, Dae Jin Park, MD

Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea

Address reprint requests to Dae Jin Park, MD Department of Ophthalmology, Daegu Fatima Hospital #576-31 Sinam-dong, Dong-gu, Daegu 701-600, Korea Tel: 82-53-940-7140, Fax: 82-53-954-7417, E-mail: djoph2540@yahoo.co.kr

Received 26 May 2009 Accepted 22 September 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction

Ectropion is an eversion of the eyelid due to various causes, and it mainly develops in the lower lid. Usually it shows a slow progression, and it is classified as involutional, cicatricial, paralytic and congenital.

Acute idiopathic bilateral lower lid ectropion is very rare; few cases have been reported worldwide, and none have been seen in Korea.

Case summary:

A 79-year-old male patient visited our department with a six-day history of epiphora and lower lid eversion in both eyes. On slit-lamp examination, lower lid ectropion was present in both eyes, and mild corneal punctate epithelial erosion was also observed. Two weeks after conservative treatment, the lower lid eversion disappeared and the lower lid returned to its original position. No changes were observed three months after treatment. We report a case of acute idiopathic bilateral lower lid ectropion with a literature review.

Keywords: Acute idiopathic ectropion, Lower lid

References

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Figure 1.

Photograph at the first visit shows everted lower lid in both eyes.

Figure 2.

Slit lamp photograph at the first visit shows ectropion of the lower lid and fluorescein staining of the lower lid margin. (A: right eye; B: left eye)

Figure 3.

Photograph at 2 weeks shows normally positioned both lowerlids

Figure 4.

Slit lamp photograph at 2 weeks shows the normal position of the lower lid (A: right eye; B: left eye)

Figure 5.

Photograph at 3 months shows normally positioned both lower lids with no changes

Figure 6.

Slit lamp photograph at 3 months shows the normal position of the lower lid with no changes. (A: right eye; B: left eye)

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