Surgical Management of Cicatricial Ectropion in Pityriasis Rubra Pilaris

Haridas, Anjana S. and Sullivan, Timothy J. (2016) Surgical Management of Cicatricial Ectropion in Pityriasis Rubra Pilaris. Ophthalmic Plastic and Reconstructive Surgery, 32 1: e12-e15. doi:10.1097/IOP.0000000000000385

Author Haridas, Anjana S.
Sullivan, Timothy J.
Title Surgical Management of Cicatricial Ectropion in Pityriasis Rubra Pilaris
Journal name Ophthalmic Plastic and Reconstructive Surgery   Check publisher's open access policy
ISSN 1537-2677
Publication date 2016-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1097/IOP.0000000000000385
Open Access Status Not Open Access
Volume 32
Issue 1
Start page e12
End page e15
Total pages 4
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams and Wilkins
Language eng
Abstract Pityriasis rubra pilaris is an idiopathic, papulosquamous dermatological disease. It is clinically and histologically distinct from, but may resemble, psoriasis. Pityriasis rubra pilaris can be self-limiting but may also run a protracted, relapsing course. Medical treatment may involve topical emollients, systemic retinoids, methotrexate, and/or tumor necrosis factor antagonists. Ocular complications include cicatricial ectropion. The authors describe the surgical management of 3 patients with cicatricial ectropion secondary to pityriasis rubra pilaris. All patients had procedures involving skin grafts; 1 patient required multiple operations. The management principles are discussed, including the role and timing of surgery, within the context of emerging treatments for pityriasis rubra pilaris. Patients with pityriasis rubra pilaris and cicatricial ectropion should be closely managed by both ophthalmologist and dermatologist. The eyelid position may improve with conservative or surgical measures. If surgery is required, the limitations of skin grafting under these circumstances should be anticipated and patients counseled appropriately.
Keyword Ophthalmology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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