Eyelid abnormalities in lamellar ichthyoses

Cruz, Antônio Augusto Velasco e; Menezes, Fabiano Anselmo Hueb de; Chaves, Ricardo; Coelho, Roberto Pinto; Velasco, Eliane F.; Kikuta, Henrique Shiguekiyo

doi:10.1016/s0161-6420(00)00333-x

Cited by 52 publications

(46 citation statements)

References 28 publications

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“…There is always a certain degree of cicatricial lagophthalmos. 1 For the patients, the presence of ectropion of both eyelids increases the area of palpebral fissure and the rate of tear film evaporation. Also, the absence of the Bell's phenomenon is an additional risk for corneal scaring.…”

Section: Discussionmentioning

confidence: 99%

“…It is always necessary to lengthen anterior lamella with free skin grafts. 1,4,5,7 Because of the widespread involvement of the skin and the difficulty in finding diseasefree area for transplantation, managing with ectropion in these patients is quite hard. Commonly used sites are the arm, groin, postauricular regions and alternatively prepuce.…”

Section: Discussionmentioning

confidence: 99%

“…It occurs as a result of abnormal keratinization or cornification. 1,2,3 There are different forms of ichthyosis; ichthyosis vulgaris (autosomal dominant), x-linked ichthyosis, lameller ichthyosis (autosomal recessive), and congenital ichthyosiform erythroderm. 4 Lameller ichthyosis is a rare autosomal recessive disorder affecting 1 in 300.000 people.…”

Section: Introductionmentioning

confidence: 99%

“…The most common eyelid abnormality reported is cicatricial ectropion, which is assumed to lead to corneal exposure and ulceration. 1,5 In most of the patients surgical treatment is required to relieve symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Cicatricial upper and lower eyelid ectropion in an ichthyosis patient. Surgical correction.

Özgür

Akçay²,

Tutas³

et al. 2011

J Dermatol Case Rep

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Background: Surgical correction of bilateral cicatricial upper and lower eyelid ectropion in an ichthyosis patient remains a challenge in clinical practice.Main observations: A 24-year-old female patient presented to our clinic with bilateral upper and lower eyelid ectropion. Her skin over her entire body and face was dry and scaly. The diagnosis was cicatricial ectropion related in a patient with ichthyosis. The upper eyelids were treated by retroauricular full thickness skin grafts and upper eyelid lateral tarsal strip procedure. And lower eyelids were treated by cheek transposition grafts and lower eyelid lateral tarsal strip procedure. The upper and lower eyelids were corrected successfully with these surgical procedures.Conclusions: In patients with ichthyosis skin alterations in the eyelid cause shortening of the anterior lamella, subsequently resulting with ectropion. Successful surgical correction with skin grafts or transposition flaps can be performed to lenghten anterior lamella. Adding lateral tarsal strip procedure to skin grafting helps to maintain a beter lid margin apposition. (J Dermatol Case Rep. 2011; 5(2): 27-29.) Cicatricial upper and lower eyelid ectropion in an ichthyosis patient. Surgical correction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cicatricial upper and lower eyelid ectropion in an ichthyosis patient. Surgical correction.

Özgür

Akçay²,

Tutas³

et al. 2011

J Dermatol Case Rep

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“…Também se refere à pálpebra superior (12) . 1.3.4 -Cilia incarnata ou pili incarnati: anomalia de crescimento caracterizada pelo direcionamento horizontal do cílio que permanece sob a epiderme.…”

Section: -Ptose Ciliarunclassified

Alterações de cílios no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto-USP

Araújo¹,

Cruz²

2002

Arq. Bras. Oftalmol.

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Objetivo: Sistematizar (classificar e caracterizar) os problemas ciliares vistos no setor de oculoplástica da Faculdade de Medicina de Ribeirão Preto -USP. Métodos: Avaliaram-se consecutiva e prospectivamente 59 pacientes do setor de oculoplástica da Faculdade de Medicina de Ribeirão Preto -USP, no ano de 1999, com doenças ciliares, excluindo-se aqueles com tratamento prévio que não fosse epilação. Foi investigado presença de doença associada (local e/ou sistêmica), queixa e duração dos sinais e sintomas, presença de alterações palpebrais e de alterações da superfície ocular. Os cílios patológicos foram caracterizados em relação à cor, espessura e localização e lateralidade da pálpebra. Resultados: A principal doença ciliar encontrada foi a triquíase, aparecendo em 56 pacientes ou 94,9% dos casos. Um caso raro encontrado foi o de um cílio ectópico incarnatum internum. O tracoma foi a principal etiologia associada à triquíase. A triquíase tracomatosa diferenciou-se da não-tracomatosa quanto ao número de segmentos palpebrais atingidos, lateralidade, pálpebra afetada (superior e inferior) e magnitude do dano à superfície ocular. Alterações de tamanho, cor e espessura dos cílios patológicos foram verificadas tanto na triquíase tracomatosa como não-tracomatosa. Conclusões: A triquíase tracomatosa ainda é o principal problema ciliar no HCFMRP-USP. Alterações de cor e espessura ciliar são vistas tanto na triquíase tracomatosa como na não-tracomatosa e, portanto, não são critérios válidos para diferenciar distiquíase adquirida de triquíase.

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Eyelids, Eyelashes, and Eyebrows

Wooten

Loukas

2016

Bergman's Comprehensive Encyclopedia of Human Anatomic Variation

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Eyelid abnormalities in lamellar ichthyoses

Cited by 52 publications

References 28 publications

Cicatricial upper and lower eyelid ectropion in an ichthyosis patient. Surgical correction.

Cicatricial upper and lower eyelid ectropion in an ichthyosis patient. Surgical correction.

Alterações de cílios no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto-USP

Eyelids, Eyelashes, and Eyebrows

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