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Arch. Soc. Esp. Oftalmol ; 88(2): 80-82, feb. 2013. ilus
Article in Spanish | IBECS | ID: ibc-109557

ABSTRACT

Caso clínico: Mujer de 73 años con lagrimeo e irritación ocular resistentes al tratamiento médico. La vía lagrimal era permeable y no había malposición palpebral. Al examinar a la paciente con su gafa, ambos párpados inferiores presentaban ectropión de tercio interno. Una vez establecido el diagnóstico y resuelto el factor mecánico, los síntomas clínicos mejoraron en días. Discusión: El diagnóstico del ectropión palpebral puede ser más complejo cuando es secundario al uso de gafas. La presencia del pliegue epicanto muestra la importancia del factor mecánico. En nuestra paciente las características del ectropión eran similares al denominado síndrome del centurión(AU)


Case report: A 73 year-old woman with epiphora and ocular irritation resistant to medical treatment. The lacrimal pathway was permeable and there was no eyelid malposition. On examining the patient with her glasses on, both lower eyelids presented an inner third ectropion. Once the diagnosis was established and the mechanical factor resolved, the clinical symptoms improved within a few days. Discussion: The diagnosis of the eyelid ectropion can be more complex when the ectropion is secondary to wearing glasses. The presence of the epicanthic fold shows the importance of the mechanical factor. In our patient the characteristics of the ectropion were similar to the so-called centurion syndrome(AU)


Subject(s)
Humans , Female , Middle Aged , Ectropion/complications , Ectropion/diagnosis , Ectropion/therapy , Lacrimal Apparatus/injuries , Eyeglasses/adverse effects , Eyeglasses/trends , Ophthalmic Solutions/therapeutic use , Ectropion/physiopathology , Ectropion/rehabilitation , Conditioning, Eyelid/physiology , Eyeglasses , Ophthalmic Solutions/metabolism , Ophthalmic Solutions/pharmacokinetics , Tears , Tears/physiology
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