Management of Severe Multifactorial Eyelid Ectropion With Lateral Tarsal Strip Procedure and Full-Thickness Skin Graft.

Secondary ectropion is a relatively common anatomo-functional abnormality of the lower eyelids. They can be seen in numerous clinical settings and generate disabling symptoms and even severe complications such as corneal ulceration, globe perforation, and blindness. Based on their etiology, cases of secondary ectropion are grouped into involutional, paralytic, cicatricial, and mechanical. Multiple techniques have been developed to treat specific abnormalities associated with this condition. Therefore, a comprehensive local assessment is crucial to select one or more surgical procedures for each particular situation. This report describes a patient with multiple contributing factors for severe ectropion of left lower eyelid treated with lateral tarsal strip procedure and full-thickness skin graft. Other surgical options and their indications are briefly reviewed.