Ectropion - lower eyelid
pulled away no longer protecting the eye (from
Radiation Therapy for Basal Cell Carcinoma)Ectropion - lower eyelid
pulled away no longer protecting the eye (from
Radiation Therapy for Basal Cell Carcinoma)Eyelid cancer can be so extensive that radiation therapy is the best option. The balance of tissues that help protect the eye that even radiation therapy resulted in an ectropion. See the surgical results of eyelid reconstruction after radiation therapy for basal cell carcinoma. Explore the eyelid for both reconstructive and cosmetic (blepharoplasty) surgery.
Michael Bermant, MD
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Ptosis of the eyelid (drooping of the upper eyelid)
Blepharoplasty (Cosmetic surgery of the eyes) Ectropion (Drooping of the lower eyelid) Recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts. Reconstruction of the lower eyelid
Facelift surgery (rhytidectomy)
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Ectropion - from extensive eyelid basal cell carcinoma treated with Radiation TherapyThe tumors on this patient were extensive the first time I saw this patient as seen in these photographs. Surgery was not an option. The tumor went into the orbit and onto the globe on the right. Radiation therapy was the only choice for this patient.
The extensive tumors contracted during therapy as expected exposing the left eye. Artificial tears provided temporary protection normally provided by the lid.
Conservative treatment and eye protection continued until tissues softened. There was enough eye protection that the lids did not need to be temporarily sewn together.
This patient has a scar contracture lid ectropion, the scar shortened the eyelid skin and the lid pulls away from the eye. The patient complained of tearing, burning of the eye, and sensitivity to wind.
This reconstruction was done by tightening the lower eyelid and resuspending it from the lateral bony wall of the orbit. Exposure was through a blepharoplasty incision. Redundant lower lid tissue was removed and the remaining lid resuspended to bone on the side. The drooping of the upper left lid is a result of the radiation therapy. This slight ptosis (droop of upper lid) was left alone. Vision was not affected and eye protection was too important. See another case of recurrent ectropion after multiple cancer resections and then skin cancer excision with Mohs' chemosurgery and full thickness skin grafts.
Learn more about blepharoplasty Ptosis of the eyelid (drooping of the upper eyelid)
Eyelid Cancer and Reconstruction
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