Bilateral ectropion

Introduction The valgus is an abnormal state in which the rim leaves the eyeball and flips outward. The lighter sputum is away from the eyeball, the severer exposes the sacral conjunctiva, the eyelid skin and the external iliac ligament are also slack, so that the gingival margin can not cling to the eyeball, and eventually the squat is falling due to the weight of the chin. In addition to tears caused by eversion, chronic conjunctivitis, the patient frequently rubbed the tears down, increasing the degree of eversion. Even the eyelids are all everted.

Cause

1, scarring: due to eyelid trauma, burns, eyelid ulcers, sacral osteomyelitis or improper operation of the ankle, etc. caused by skin scar traction.

2, sputum: due to eyelid skin tension, content filled with orbicularis tendon ( ( ( ( ( ( Common in children with vesicular keratitis, or patients with high eyeballs.

3, paralytic: only seen in the lower jaw, due to facial nerve paralysis, orbicularis muscle contraction loss, the lower jaw according to its own weight, the vertical surface of the vertical formation.

4, senile: only seen in the lower jaw, because the elderly's orbicularis function is weakened, the eyelid skin and the external iliac ligament are also loose, so that the gingival margin can not cling to the eyeball, and eventually the squat is falling due to the weight of the squat. In addition to tears caused by eversion, chronic conjunctivitis, the patient frequently rubbed the tears down, increasing the degree of eversion.

an examination

Related inspection

Eye and sacral area CT examination ophthalmoscopy

After the eyelids are everted, the gingival margin leaves the eyeball, and the conjunctiva is dry and hypertrophic, and the surface is congested. The cornea is also dry, ulceration is formed, due to facial nerve paralysis, the contraction of the orbicularis muscle is lost, and the lower jaw is eversion due to its own weight. It eventually produces scars that can damage your vision.

1. The difference between valgus and valgus is scarring, spasticity, paralysis or senile.

2. Check for cleft palate, conjunctiva, corneal exposed area, orbital, tarsal, punctum orbital, and adjacent bones with or without defects.

3. Check your vision and cornea.

4. If you have paralytic valgus, you must consult a neurologist.

Differential diagnosis

The disease should be differentiated from the wind-induced phlegm: both have eyelid valgus, but the wind is mostly limited to the lower jaw, and there is no scar; and the disease is caused by the sputum self-injury, which is caused by scar contraction. Eyelids can occur.

After the eyelids are everted, the gingival margin leaves the eyeball, and the conjunctiva is dry and hypertrophic, and the surface is congested. The cornea is also dry, ulcers form, and eventually scars, which impair vision.

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