Abstract Listings 2024

Purpose

Ectropion is the most common eyelid malposition, defined by the eversion of the eyelid edge and the exposure of the conjunctiva and the cornea. It commonly affects the lower eye lids. Broadly, there are five types of ectropion based on the etiologies: involutional, paralytic, cicatricial, mechanical and congenital ectropion. The purpose of this study is to evaluate the characteristic profile, surgical outcomes, and success rate of ectropion surgery in JEC Eye Hospitals, Jakarta, Indonesia

Methods

Retrospective case review through the electronic medical record of patients with ectropion from three JEC hospitals between January 2017 to January 2022 were performed. Descriptive and analytic statistics were used to describe the data

Results

Hundreds fourty one patients (196 eyes) with ectropion were included in the study. There was a male predominance (57.3%) with a male to female ratio of 1.35 in the cohort. Most patients experienced both red eye and persistent epiphora (52.5%) and had ectropion in the lower lid (88.8%). The most common etiology was involutional (44.7%), cicatricial (35.5%), paralytic (14.9%) and mechanical (5.0%) causes. Fourty seven patients (33.3%) underwent surgery and the most widely performed surgery was the lateral tarsal strip (LTS), involving 28 patients (59.6%). Amongst all causes of ectropion, patients with paralytic ectropion most likely underwent surgeries (57.1%). Most surgical procedures had a 100% success rate with rare post-surgery events (8 eyes). However, recurrences post-operations were less (19.1%) and mostly observed in paralytic (44.4%) and cicatricial ectropion (55.6%).

Conclusion

Ectropion is subdivided according to its etiologies, and the type of surgery is determined by these etiologies. This study reported involutional change as the most common cause of ectropion. No severe postoperative events were identified during the 5-year period and less recurrence rate.

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