Surgical Approach of Ectropion in Lamellar Ichthyosis

The document presents a case study of a male infant with lamellar ichthyosis, a rare genetic skin disorder, who developed bilateral cicatricial ectropion, which is an outward turning of the eyelids leading to corneal exposure and potential vision loss. Due to the lack of viable skin across the body, surgical correction of ectropion in these patients is challenging. The infant had a significant ectropion with a corneal ulcer that did not improve with occlusive dressings. Plastic surgery was performed, suturing the eyelids with gaps to allow light stimuli, which resulted in a satisfactory outcome with the correction of the corneal ulcer and substantial regression of the ectropion. At 8 years of age, the patient maintained reasonable ophthalmic conditions. The study emphasizes the importance of considering both functional and aesthetic aspects in the surgical reconstruction of eyelids in patients with lamellar ichthyosis. No commercial support was identified for this study.