WHILE ectropion is a common condition with a large number of corrective surgical procedures, an extreme degree of ectropion resulting in prolapse and chemosis of the conjunctiva is rare and constitutes a perplexing problem for the ophthalmic surgeon. The following report of a case presents a technic, hitherto undescribed, for treating the chemosed, everted, exposed conjunctiva of the lower lid.
REPORT OF A CASE
—J. R., 49 year old white man, fell off a tugboat on Feb. 2, 1945, was unconscious for eighteen hours, and was treated at another hospital. He had sustained occipital and parietal fractures of the skull, intracranial arteriovenous aneurysm, bilateral exophthalmos, fourteen fractured ribs and a fractured right scapula. On May 30, 1945, the right internal carotid artery was occluded by application of a Michel clip for the arteriovenous aneurysm. The intracranial bruit disappeared. Forty-eight hours later, the patient developed eversion and prolapse of the
LAVAL J, SCHNEIDER J. MODIFIED SNELLEN SUTURE FOR PROLAPSED CHEMOSED CONJUNCTIVA. Arch Ophthalmol. 1947;38(3):375-377. doi:10.1001/archopht.1947.00900010384010