The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Scleroderma

Photo by Professor Chua Chung Nen

This 60 year-old woman had had problem with fully opening her eyelids for the past 30 years because of scleroderma which tighten her skin. She also had optic atrophy for the 20 years and dense cataract reducing her vision to no light perception. She presented with ocular irritation as a result of lower eyelid entropion. Everting sutures were performed but the left entropion recurred four months later. 

 

Wrinkle-free tight skin and incomplete eyelid opening. Left lower eyelid entropion.

 

Normal eyelid closure.

 

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