Efficacy of Surgical Treatment for Paralytic Ectropion

Richard D. Lisman, Byron Smith, Daniel Baker, Bryan Arthurs

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Paralytic ectropion can be corrected with numerous procedures. Advocates of particular procedures have previously been unable to quote statistical rates of success for each procedure over significant lengths of time. This study reviews over 200 cases of paralytic ectropion, representing the spectrum of seventh nerve disease seen at an eye and ear specialty hospital and a general medical facility. Of all eyelid implantation devices 93 to 95% failed to work or needed reoperation by 3 years postoperatively. Soft tissue surgery without prosthetic implants or exoplants provided 60% success after a 3-year follow-up. Eyelid elevation or tightening coupled with surgery for facial reanimation produced a higher rate of success at 3 years (83%). An overwhelming number of patients (62%) complained of some degree of epiphora after any or all procedures. Based on these findings, soft tissue surgery without prosthetic implants or exoplants has a higher rate of success.

Original languageEnglish
Pages (from-to)671-681
Number of pages11
JournalOphthalmology
Volume94
Issue number6
DOIs
StatePublished - 1987

Keywords

  • Arion prosthesis
  • Morel-Fatio palpebral spring
  • canthoplasty
  • dynamic reanimation
  • ectropion
  • epiphora
  • facial paralysis
  • facial reanimation
  • hypoglossal nerve transfer
  • masseter muscle
  • static reanimation
  • tarsal strip elevation
  • temporalis muscle

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