Bilateral Ectropion Repair

During an ectropion repair surgery an incision is made on the eyelid.

Bilateral ectropion repair. A wedge shaped portion of cartilage is cut and isolated from the outer edge of the lower eyelid. Artificial tears and lubricating ointments can help relieve symptoms of ectropion. The problem can be further complicated by contraction of the anterior lamella due to cicatricial forces from various causes actinic changes rosacea prior surgery. Typically occurring on the lower eyelid the skin and lashes rub painfully against the cornea.

Ectropion is more common in older adults and it generally affects only the lower eyelid. As with 67840 medicare will reimburse bilateral ectropion and entropion repairs at 150 percent of the fee schedule amount. If your ectropion is due to scar tissue you may need a skin graft skin transplant. When the lid is stitched back together the tendons and muscles of the lid will be tightened causing the lid to rest properly on the eye.

In less severe ectropion only one segment of the eyelid sags away from the eye. Entropion is a turning in of the eyelid. This procedure is generally relatively simple. Overhead or headlight illumination is required.

No magnification is generally required. The equipment necessary for entropion and ectropion repair includes an operating table with head extension. In severe ectropion the entire length of the eyelid is turned out. Ectropion caused by muscle and ligament relaxation due to aging.

They both generally require surgical repair to avoid eye health issues and potential vision loss. Entropion and ectropion are two types of eyelid problems that can cause discomfort and irritation of the eyes. Next the cartilage is sewn and the process repeated at the inner portion part of the eyelid close to the nose. Your doctor will take skin from behind your ear or from your upper eyelid and attach it to your lower lid.