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HA: hyaluronic acid INTRODUCTION Eyelid ectropion is an anatomic malposition in which the eyelid is turned away from the globe of the eye. Failure of the lid to rest flush against the underlying eyeball may cause a complex array of symptoms beyond aesthetic consequences, including pain, dryness, irritation, foreign body sensation, tearing, erythema, chronic conjunctivitis, corneal ulcers, and scarring. There are 5 types of eyelid ectropion: involutional, cicatricial, paralytic, congenital, and mechanical. The most common type is involutional, involving horizontal lid laxity caused by age-related deterioration of medial and lateral canthal tendons. The next most common type is cicatricial, typically caused by scarring of the lower eyelid caused by trauma or ulceration from injury or surgery. Traditionally, ectropion is treated with various types of eyelid surgeries, depending on the severity and location of the ectropic eyelid. Alternatively, studies have found that hyaluronic acid (HA) injections may offer a temporary alternative for correcting cicatricial ectropion while avoiding many of the risks and complications of eyelid surgery. This case series describes successful treatment and longterm correction of both cicatricial and involutional eyelid ectropion using HA injections in an office setting.

Correction of cicatricial and involutional lower eyelid ectropion with hyaluronic acid