1/31/2024 0 Comments Bilateral ectopic pupil![]() This membrane can form due to proliferative diabetic retinopathy, venous occlusions, and ischemic, inflammatory, and neoplastic etiologies. This is associated with neovascularization of the iris. Īcquired iris ectropion can occur in many conditions and is more common than congenital ectropion uveae. Fibrovascular membrane formation on the anterior surface of the iris causes tractional forces pulling the posterior pigment epithelium of the iris to the anterior surface. Neurofibromatosis, Prader-Willi syndrome, facial hemihypertrophy, prominent corneal nerves, asthma, dental problems (late-onset), and Rieger anomaly may be associated with congenital iris ectropion. Developmental glaucoma is a frequent association. Mild to moderate ptosis with good levator function may be seen. The pupil is usually round and reactive. Other features are anterior insertion of the root of the iris and trabecular dysgenesis. The sphincter muscle of the iris and the stroma are not affected. The iris surface is glassy smooth and devoid of crypts. The posterior pigment epithelium of the iris is found on the anterior stroma at birth. Progressive open-angle glaucoma may be associated in some cases due to the dysgenesis of the angle of the anterior chamber. īoleslaw Wicherkiewicz, a Polish ophthalmologist in 1891 and Spiro in 1896, are credited with reporting iris ectropion syndrome. Congenital iris ectropion is usually unilateral and nonprogressive, though bilateral cases have been reported. Iris flocculi are congenital smooth cyst-like benign structures arising from the pigmented epithelium at the pupillary margin. However, he was actually describing iris flocculi. Congenital ectropion uveae (CEU, or primary iris pigment epithelial hyperplasia) was first reported by Colsman in 1869. Iris ectropion syndrome can be congenital or acquired. Wear sunglasses on bright days for 1 year after surgery.Iris ectropion syndrome (ectropion iridis or ectropion uveae) is characterized by ectropion or the presence of the pigmented epithelium of the iris on the anterior surface of the iris.Avoid swimming, hot tubs, gardening, and dusting for 1 to 2 weeks.Do not bend over or do any strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, for 2 weeks or until your doctor says it is okay.Do not get your hair coloured or permed for 10 days after surgery.Do not rub or put pressure on your eye for at least 2 weeks.Keep water, soap, shampoo, hair spray, and shaving lotion out of your eye, especially for the first week. You can shower or wash your hair the day after surgery.You may also want to avoid face cream or lotion. Do not wear contact lenses for about 2 weeks or until your doctor says it is okay.Limit reading, computer work, and TV for the first few days. Ask your doctor when it is okay to drive.Drink plenty of fluids (unless your doctor tells you not to).Sleep with your head up by using 2 or 3 pillows. Keep your head raised for several days after surgery.Getting enough sleep will help you recover. When the swelling is gone, you'll be able to see the changes in how it looks. You may be able to put drops or gels in the eye to keep it moist.įor the first few weeks, your eye will be swollen. Or you may find that your lid doesn't close fully when you sleep. Even after 2 weeks, you may still have some bruising around your eyes.Īfter surgery for a droopy eyelid, or ptosis (say "TOH-sus"), you may find that your lid doesn't lower as much when you look down. This may depend on your job and how you feel about people knowing about your surgery. Most people feel ready to go out in public and back to work in about 10 to 14 days. The appearance of your eye may continue to get better for 1 to 3 months. Your eyelid may be swollen and bruised for 1 to 3 weeks after surgery. If your doctor closed your incisions with removable stitches, the stitches will be taken out in 5 to 10 days. Follow your doctor's instructions on how to clean and care for your eye. It's important to keep your eyelid clean and to avoid rubbing it. Your doctor will give you medicines to help with pain and discomfort. Your vision may be blurry for a few days. Your eye may be watery, dry, sticky, itchy, or sensitive to light. The doctor made small cuts in an eyelid to do the surgery.Īfter surgery, your eyelid may feel tight and sore. ![]()
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