Cicatricial Ectropion of Lower Eyelid: A Report of Two Cases

Cicatricial lower lid ectropion is characterized by vertical shortening and/or scarring of the anterior lamella of eyelid and can be the result of thermal or chemical burns, mechanical or surgical trauma/scars, medications, sun damage, chronic inflammation, and involutional changes. Ectropion repair presents a challenge to the surgeon. The surgical management of cicatricial ectropion depends on the situation after the release of the scar traction in the lower lid area. Various techniques have been described for correcting cicatricial ectropion by lengthening the anterior lamella with transposition flaps or with full-thickness free skin grafts. We would like to describe two cases of lower lid cicatrical ectropion with two different causes, which were managed in two different ways.