PMC5361770_01
(A&B) The preoperative appearance of the bilateral lower lid cicatricial ectropion. (C&D) The clinical appearance, six years post-treatment with mucous membrane graft of both lower lids. (E) The histopathologic appearance of the acanthotic mucous membrane graft with evidence of metaplasia and keratinization (Original magnification x 100 Hematoxylin and Eosin). (F) Higher magnification of the metaplastic mucosa several years following the graft procedure. Note the absence of dysplasia. (Original magnification x 200 Hematoxylin and Eosin).
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Her ophthalmic evaluation revealed severe bilateral lower and upper eyelids cicatricial ectropion (Fig. 1A and B). Clinically, the graft has been viable without signs of infection and the patient had no further complaints (Fig. 1Cand D). The biopsy showed squamous mucosa with acanthosis, keratinization and no signs of dysplasia or malignancy (Fig. 1E and F).