This 72 year-old man was
referred because of recurrent right ocular irritation and epiphora. He
suffered from a right facial nerve palsy 5 years earlier but no cause was
found despite extensive work up including MRI brain scan. Examination revealed
a right medial ectropion and significant conjunctival exposure during lid
closure. A combined medial canthoplasty and a lateral tarsal sling were
carried out to reposition the punctum and reduce the conjunctival exposure.
Right medial ectropion. |
Right ocular expsoure during lid closure. The
Bell's phenomenon is normal.
The upper lid does not close completely due to
paralysis of the orbicularis. |
Post-operative appearance of right medial
canthoplasty and lateral sling. |
The medial ectropion is corrected with reduced
ocular expsorue. |
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