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Bulgarian Review of Ophthalmology

Lateral Tarsal Strip Procedure for Correction of Involutional Ectropion

Z. Zlatarova, E. Hristova


Involutional ectropion is often observed in clinical practice. Horizontal lid laxity, poor orbicularis muscle tone, succumbing to the effect of gravity are part of reasons for this type of ectropion. There are different surgical procedures for treatment of it.

Aim: To present our experience in surgical treatment of involutional ectropion with lateral tarsal strip procedure.

Materials and methods: Fifteen male patients on mean age 78,3 years were operated by one surgeon using lateral tarsal strip procedure. For assessment of ectropion stage was used Ectropion Grading Scale. Follow up period was from 3 to 10 months, mean 6 months.

Results: With stage II ectropion were 4 patients, with stage III - 6 patients and with stage IV - five patients. On days 1, 7 and 30 after surgery in all patients lid margin was in normal position, there were not scleral show and tear punctum was in tear lake. There were not postoperative complications and all of the patients were satisfied of the final esthetic result.

Conclusion: Lateral tarsal strip procedure restored normal lid function and give a rapid rehabilitation with few complications and excellent cosmetic outcome.


Ectropion; lateral tarsal strip

Full Text


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About The Authors

Z. Zlatarova
Катедра по очни болести и зрителни науки, Medical University of Varna СБОБАЛ-Варна

E. Hristova
Катедра по очни болести и зрителни науки, Medical University of Varna СБОБАЛ-Варна