On cicatricial ectropion of the lower lid following caries of the orbit / by John Tweedy.
- John Tweedy
- Date:
- [1890]
Licence: Public Domain Mark
Credit: On cicatricial ectropion of the lower lid following caries of the orbit / by John Tweedy. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![/ff0 Reprinted from Vol. X of the ‘ Opthalmological Society’s Transactions’] On cicatricial ectropion of the lower lid following caries of the orbit. By John Tweedy. During the last four or five years I have successfully operated on several cases of cicatricial ectropion of the lower lid following caries, by what, I believe, is a novel device. The latest case is one which was kindly referred to me by Mr. Hodges, of Leicester, and which is in attend- ance to-night, and has probably been seen by most of the members present. In this case the ectropion was extreme, and gave rise to much discomfort. It was also, as will have been observed, complicated by much osteophytic growth, and deep adherent cicatrices at the lower and outer orbital margin. I may say, paren- thetically, that I only attempted to deal with the ectropion ; the thin adherent cicatrices over the osseous growths were left untouched because there was reason to fear that if they were dealt with further sloughing might take place. It will have been noticed how ingeniously the patient has concealed the latter deformity. The ectropion was rectified in the following manner. An oblique flap (shaded in diagram) with curvilinear parallel sides, comprising the whole thickness of the lid, was made at the outer part of the lower lid, close to the external canthus; and then the adherent cicatrix at the orbital margin was freely divided so as to allow the shortened lid to come easily into normal position. The](https://iiif.wellcomecollection.org/image/b2246556x_0005.jp2/full/800%2C/0/default.jpg)
