Algorithm for the management of ectropion through medial and lateral canthopexy

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Ectropion presents significant patient symptoms, necessitating effective prevention and management strategies.
• Medial and lateral canthopexy are crucial surgical components for ectropion treatment.

Purpose of the Study:

• To propose a comprehensive algorithm for ectropion prevention and management.
• To classify ectropion based on signs and causes to guide treatment.

Main Methods:

• A novel ectropion classification system was developed.
• A surgical algorithm incorporating medial and lateral canthopexy was applied to 68 cases.
• Clinical photographs and patient surveys using a Likert scale assessed outcomes.

Main Results:

• No postoperative scleral show was observed in any patients.
• All patients reported satisfied or higher satisfaction scores for ectropion-related symptoms.
• Aesthetic appearance showed the most significant improvement, with no major complications.

Conclusions:

• A comprehensive approach to ectropion management requires integrating both prevention and treatment.
• The proposed surgical algorithm provides a simple yet effective method for achieving favorable outcomes.
• High patient satisfaction and medically acceptable results were attained without significant complications.