Ectropion Complex Case- Dr. Ana Carolina Victoria

🚨 Case Spotlight: Managing Complex Ectropion in a Challenging Patient 👩‍⚕️ Dr. Carolina Victoria shares an incredible oculofacial plastic surgery case out of Miami, Florida: This patient in her 60s presented with gross ectropion of both lower eyelids caused by anterior laminar shortening due to tight skin—a result of decades-long mixed connective tissue disorder and a history of prednisone use. Symptoms included: • 🔴 Exposure keratitis • 🔴 Lagophthalmos (inability to close eyes at night) • 🔴 Tearing and discomfort 💡 The Approach: A multi-disciplinary effort with her rheumatologist led to reparative surgery that included: ✨ Midface lifting ✨ Lower eyelid repositioning with a tarsal conjunctival flap ✨ Orbitotomy for fat reduction The outcome? While the eyelid positioning may not appear “perfect,” the patient’s symptoms improved dramatically—better eye closure, reduced tearing, and overall satisfaction. 🩺 Key Takeaway: Complex cases like this highlight the importance of collaboration across specialties and the need for lifelong follow-up to optimize outcomes. 🎥 Watch the video for the full explanation.