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Punctal Ectropion repair using the Raus-Garito clamp
Peter P M Raus1, Nathalie Bral2, Richard Collin3
1a Miró Centrum voor Oogheelkunde en Esthetiek , Geel , Belgium.
Orbit (Amsterdam, Netherlands)
|August 31, 2017
Summary
A new surgical clamp effectively corrected ectropion of the lacrimal punctum in most patients, resolving tearing and improving cosmetic outcomes for ectropion repair.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Ectropion of the lacrimal punctum can cause significant tearing and cosmetic concerns.
- Traditional surgical methods for ectropion repair may have variable outcomes.
Purpose of the Study:
- To evaluate the efficacy of a novel surgical clamp for correcting lower eyelid ectropion involving the lacrimal punctum.
Main Methods:
- A prospective study involving 55 patients (88 eyelids) with mild to moderate ectropion.
- Surgical technique included tarso-conjunctival excision, retractor reattachment, and correction of horizontal lid laxity.
Main Results:
- Successful resolution of tearing was achieved in 77 out of 88 eyelids (approximately 87.5%).
- Persistent tearing was reported in 11 eyelids.
Conclusions:
- The Raus-Garito clamp offers a promising approach for repairing early to intermediate ectropion of the lacrimal punctum.
- This method is associated with favorable functional and cosmetic results.

