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ECTROPION OF THE LOWER EYELIDS FOLLOWING BURNS AND SCALDS: A NEW EARLY PATHOGNOMONIC SIGN

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

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