Lower Lid Tarsal Ectropion Correction by three Tarsoconjunctival Spindles

Ectropion is a turning outward of the free border of the eyelid, resulting in exposure of the conjunctiva [1]. It is classified in the following categories: congenital and acquired, which may be involutional, paralytic, cicatricial and mechanical [2,3]. Tarsal ectropion is a clinical condition characterized by lower lid eversion which is limited to the tarsal-containing portion alone [4,5]. It differs from ordinary senile ectropion in that does not progress beyond the tarsus and there is no relaxation of the tissues of the lid below the tarsus. It is similar to senile ectropion in that it is seen only in middle and old age and I be unilateral or bilateral [4]. A big variety of factors isolated or combined leading the appearance of the lower lid ectropion include horizontal laxitud of the eyelid ,vertical a shortening of the anterior lamella of the eyelid, paralysis of the orbicularis oculi muscle, desinsertion of the lower eyelid retractors and tumor near of the eyelid margin mechanically evert the eyelid [2,3].