Moe and Linder developed the Ectropion Grading System (EGS) for evaluating a patient with ectropion. This can aid in the initial patient evaluation and to monitor the patient over time. The authors are from the University of Zurich and the University of California in San Diego.
Parameters:
(1) eyelid appearance
(2) eyelid laxity on examination
(3) eversion of lower eyelid
(4) complications (conjunctival metaplasia, stenosis of lacrimal duct, retraction of anterior lamella, other)
|
Appearance |
Laxity on Exam |
Eversion |
Complication |
Grade |
|
normal |
absent |
none |
absent |
0 |
|
normal |
present |
none |
absent |
I |
|
sclera show |
present |
none |
absent |
II |
|
advanced |
NA |
without lacrimal punctum |
absent |
III |
|
advanced |
NA |
with lacrimal punctum |
absent |
IV |
|
advanced |
NA |
NA |
present |
V |
Additional designators
|
Finding |
Designator |
|
predominantly lateral |
L |
|
predominantly medial |
M |
|
both lateral and medial |
LM |
|
previous revision(s) |
rN (see note) |
where:
• N = number of previous revisions
• In Moe and Kao the letter "t" is used to indicate a previous tarsorrhaphy or blepharorrhaphy
Specialty: Ophthalmology
ICD-10: ,
