Abstract: Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure, excessive tearing, and chronic irritation Objective: To report a case and evaluate the effectiveness of combining a lateral tarsal strip with a U-plasty flap technique in correcting cicatrical ectropion following facial tumor excision. Main ideas: A 58-year-old woman developed cicatricial ectropion following a wide excision for facial tumor removal. The patient exhibited symptoms, including eye irritation, epiphora, and discomfort. Clinical examination revealed lower eyelid ectropion, dermatochalasis, and scar tissue contraction near the left lateral canthus and maxilla. The surgical approach involved a combination of a lateral tarsal strip procedure to address horizontal eyelid laxity and a U-plasty flap to repair scar-induced anterior lamella shortening. Results at the three-month follow-up indicated successful correction of eyelid malposition with mild residual ectropion but no corneal exposure or significant complications. The patient experienced a resolution of symptoms and showed good healing at the surgical site. Conclusion: The combined lateral tarsal strip and U-plasty techniques effectively corrected cicatricial ectropion, restoring eyelid function and achieving satisfactory aesthetic results. This approach may be considered as a reconstructive option in similar cases of scar-related anterior lamellar shortening.
Abstract: Background: Cicatricial ectropion, characterized by outward eyelid eversion due to anterior lamella shortening, often results from scar contraction after trauma or surgery. Due to scar contracture, surgical intervention is challenging to repair the defect. This condition leads to poor eyelid-globe apposition, which can cause ocular surface exposure...Show More
Ahmed Mohammed Elnour Elkhalif,Mohammed Abdul Wahid Almorish*,Abozer Yousif Elderdery,Saud Nahar Alruwaili,Maryam Musleh Althobiti,Siddiqa Mohammed Abbas Hamza,Salma Elhadi Ibrahim Mekki,Dania Ahmed,Jeremy Mills
Issue:
Volume 4, Issue 2, June 2025
Pages:
31-36
Received:
18 April 2025
Accepted:
8 May 2025
Published:
23 June 2025
DOI:
10.11648/j.ijmcr.20250402.12
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Abstract: The COVID-19 virus can initiate a coagulation cascade leading to clot formation and disseminated intravascular coagulation (DIC), raising alarms among healthcare professionals about managing severe cases and underscoring the need for a comprehensive understanding of its mechanisms and therapeutic strategies. This study examines the coagulation parameters and D-Dimer levels in confirmed COVID-19 patients in contrast healthy controls. A retrospective case control study was conducted at the Riyadh Regional Laboratory Centre in Saudi Arabia, involving 384 confirmed COVID-19 patients and an equivalent control group of non-COVID-19 individuals matched for age, gender and nationality/ethnicity. Data on demographics and laboratory results were extracted from electronic medical records. A comparative examination of coagulation factors utilizing standard methodologies for D-Dimer, Prothrombin Time (PT), activated Partial Thromboplastin Time (APTT) and International Normalized Ratio (INR) levels was conducted between individuals diagnosed with nasopharyngeal swab samples by real time- polymerase chain reaction (RT-PCR) from COVID-19 patients and non-COVID-19 individuals. Our study indicated a significant increase in the mean values of PT, APTT and D-dimer in COVID-19 positive patients than non-COVID-19 individuals. Conversely, the mean values of INR were markedly reduced in COVID-19 positive patients compared to non-COVID-19 individuals. COVID-19 patients exhibit significant abnormalities in blood coagulation profile relative to non-COVID-19 individuals. The research indicates that elevated levels of D-Dimer, PT, and APTT may serve as indicators of disease severity and prognostic markers in COVID-19 patients.
Abstract: The COVID-19 virus can initiate a coagulation cascade leading to clot formation and disseminated intravascular coagulation (DIC), raising alarms among healthcare professionals about managing severe cases and underscoring the need for a comprehensive understanding of its mechanisms and therapeutic strategies. This study examines the coagulation para...Show More