PMC9825562_01
Image showing severe dry scaly patches throughout skin. Note bilateral ectropion.
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At birth, the child was noted to have significant scaling of the entire body, severe bilateral ectropion and flattened posteriorly rotated ears consistent with a presentation of Lamellar Ichthyosis (Fig. 1).
Image showing patient at 17 day of life. Note worsening of ectropion bilaterally.
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The child was unable to close the eyes, however there was no corneal abrasions (Fig 2).
Image showing planned surgical incision site for release of ectropion, followed by harvesting of skin graft, insetting and placement of Frost suture.
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The lids were then partially closed using Frost sutures over a rubberized tube from a sterile urinary catheter (Fig. 3). Postoperatively, the patient did well and there was complete correction of bilateral ectropion (Figs 3 and 4).
Image showing correction of ectropion at 1-month post-surgery.
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Postoperatively, the patient did well and there was complete correction of bilateral ectropion (Figs 3 and 4).