CLINICAL CASE OF TREATMENT OF LOWER EYELID ECTROPION USING POLYPROPYLENE MESH MATERIALS

The aim of the research to evaluate the clinical effectiveness and safety of using polypropylene mesh in the complex surgical treatment of cicatricial ectropion of the lower eyelid.Materials and methods. As part of a prospective clinical observation, a 58-year-old patient with post-traumatic cicatricial ectropion was operated on. A combined intervention was performed: implantation of a polypropylene mesh (80×20 mm), lateral canthopexy, and scar revision.Instrumental diagnostic methods (ultrasound tomography, CT), biomechanical control of implant tension (0.4 N), as well as standardised dynamic observation for up to 6 months, were used.Results of the study. The reduction of horizontal diastasis from 2.1 mm to 0.3 mm, complete restoration of eyelid sealing and absence of recurrence were shown. The implant was successfully integrated into the fibrovascularized tissue without contour defects or complications. The patient reported the disappearance of discomfort, improved visual perception, and satisfaction with the result from both functional and aesthetic perspectives. The results obtained indicate the high effectiveness and safety of the proposed technique. The polypropylene mesh provides two-vector stabilisation of the eyelid and can be considered an alternative to traditional transplantation methods in complex cases.The findings highlight the effectiveness of a comprehensive individualised approach and the need for further research to improve treatment strategies for complex forms of ectropion.