Ectrópio congênito: Relato de três casos e revisão de literatura

Translated title of the contribution: Congenital ectropion: Three case reports and literature review

Filipe José Pereira, Sabrina de Pellegrini Trindade, Antonio Augusto Velasco e Cruz

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations


To report 3 cases of congenital ectropion because of their rarity and confusing classification. Case 1: JPT, 2 days old, male, negro. Left upper eyelid eversion with chemosis was present, passive to mechanic reduction. Compressive occlusion was done with ectropion regression in 48 hours. Case 2: AJL, 6 years old, female, Caucasian, with Down syndrome. The left eye had hiperemia, lagophthalmos and inferior leucoma. She received horizontal shortening (superior and inferior tarsal strip) and skin grafts, and after 2 months the patient did not return. Case 3: GSD, 4 years old, male, Caucasian, with Down syndrome. His signs and treatment were the same as in case 2. According to Pic6's classification the first case is classified as grade II due to eyelid eversion during the passage through the birth canal, more frequent in black people. Cases 2 and 3 represent grade III that is due to eyelid skin alteration, and the association with Down syndrome is observed. Treatment for ectropion grade III is always surgical, as it was done in these cases. We do not agree with Picó's classification, the only one found in medline, because there are no articles confirming the existence of grade I (absent tarsus), grade II should be called congenital upper eyelid eversion, grade IV (microphthalmos and orbital cyst) is a disease of the orbit. Grade III refers to true ectropion, because horizontal enlargement of superior and inferior eyelids (megaloblepharon).

Translated title of the contributionCongenital ectropion: Three case reports and literature review
Original languagePortuguese
Pages (from-to)149-152
Number of pages4
JournalArquivos brasileiros de oftalmologia
Issue number1
StatePublished - 2007
Externally publishedYes


  • Down's syndrome/complications
  • Ectropion/congenital
  • Eyelashes/abnormalities
  • Eyelids/surgery

ASJC Scopus subject areas

  • Ophthalmology


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