We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......


Samuel Gordon Berkow, M.D.
JAMA. 1928;90(21):1708-1709. doi:10.1001/jama.1928.92690480002012a.
Text Size: A A A
Published online

Cicatricial ectropion of the lower eyelids is a frequent and serious result of burns and scalds involving the face about the eyes. By no means all burns of this area result in ectropion. When recognized early, before the condition is well established, simple preventive measures may abort the process. Therefore it is important to diagnose this complication at the earliest possible moment. The sign described here is, in my belief, the first positive manifestation of cicatricial ectropion of the lower eyelids, following burn or scald.

Normally, each eyelid is a movable fold consisting of skin, loose connective tissue, muscular tissue, tarsus, fascia and conjunctiva. The conjunctiva lining the lids, along the entire width of the palpebral aperture, lies in apposition to the conjunctiva of the eyeball, with which it is continuous. Nc space, or interval, forms between the palpebral and the oculai conjunctiva—that is, between the eyelid and the eyeball—on


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.