Inverting Sutures With Systemic Retinoids and Lubrication Can Correct Ectropion in Ichthyosis.

[lamellar ichthyosis]

The authors present 2 children , a girl aged 9 and a boy aged 15 years , both with lower eyelid ectropion due to congenital lamellar ichthyosis .They had the same treatment protocol , insertion of inverting sutures in addition to a systemic retinoid drug and a lubrication of the eyelids . The girl had 2 separate procedures of inverting sutures , while the eyelids of the boy were corrected with 1 procedure . Both tolerate their systemic retinoid treatment nicely . Five years later , the lower eyelids are in an excellent position without any further surgical intervention . The patients are comfortable . The conventional method to treat these conditions is skin grafts . The authors offer another treatment option in this very bothersome condition .