Description

A 75-year-old man presented with a constant, not repositioned left upper eyelid ectropion (figure 1). The patient had suffered several episodes of infectious keratitis due to eyeball exposure. The lower eyelid presented also an ectropion due to hyperlaxity. Severely injected and hypertrophied superior tarsal conjunctiva was observed. The cornea was tarnished with loss of brightness due to poor lubrication by exposition (figure 1). The patient had no history of previous surgery, traumatic event, obstructive sleep apnoea (OSA) syndrome or multiple endocrine neoplasia. He underwent an upper lid lateral full thickness semilunar wedge resection of 15 mm and levator muscle aponeurosis reattachment through the eyelid crease (figures 2 and 3). A lateral tarsal sling was performed in lower eyelid. Epithelial hyperplasia with parakeratosis was informed in the histological study (figure 4). Cosmetic and functional results were rapidly obtained. …