Cicatricial Ectropion Cicatricial Ectropion Cicatricial ectropion is the pulling of the upper or lower eyelid away from the eye because of scar formation or a shortage of the anterior lamella of the eyelid. The scarring process can involve the skin, subcutaneous tissue, muscle or septum. Mechanical injuries such as lacerations and burns - thermal, chemical and radiation can cause scarring resulting in ectropion. Eyelid surgery such as blepharoplasty or tumor removal can result in ectropion due to removal of too much skin. Infections such as herpes zoster can cause contraction and ectropion of the eyelid.
Initial treatment is directed to protect the cornea.
Ophthalmic lubricating drops and ointments should be applied frequently. Moisture chambers attached to eyeglasses or the expa-bubble can be helpful. Room humidifiers may also help. In the initial post operative stage such as following trauma repair or blepharoplasty, frequent digital message can be tried to relax the scar and stretch the skin. It is best to wait at least six months following injuries for the scar to mature and soften before performing surgery.