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An unusual case of bilateral upper eyelid ectropion thought to be caused by blepharospasm is described. Botulinum A toxin injection yielded a good clinical response. A hypothesis for the pathogenesis of this condition is discussed.
Ectropion in adults typically affects the lower eyelid and is thought to result primarily from involution, paralysis and cicatrisation.1,2 We report an unusual case of bilateral upper eyelid ectropion associated with blepharospasm in an elderly man who responded to treatment with botulinum A toxin.
A 73-year-old man was referred to our clinic with bilateral upper eyelid ectropion. The ophthalmic history showed that his symptoms started about 5 years earlier and that he had been treated unsuccessfully with lubricants …