Survey of Ophthalmology
Volume 55, Issue 3 , Pages 256-271, May 2010

Techniques of Upper Eyelid Reconstruction

  • Ana M.S. Morley, MA, FRCOphth, MD

      Affiliations

    • CorneoPlastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom
    • Corresponding Author InformationReprint address: Raman Malhotra, The Queen Victoria Hospital, Holtye Road, East Grinstead RH19 3DZ, United Kingdom
    • ,
  • Jean-Louis deSousa, FRANZCO

      Affiliations

    • CorneoPlastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom
    • Lions Eye Institute, Perth, Australia
    • ,
  • Dinesh Selva, FRACS, FRANZCO

      Affiliations

    • Oculoplastic and Orbital Division, Department of Ophthalmology and Visual Sciences, University of Adelaide and South Australian Institute of Ophthalmology, Adelaide, Australia
    • ,
  • Raman Malhotra, FRCOphth

      Affiliations

    • CorneoPlastic Unit, Queen Victoria Hospital, East Grinstead, United Kingdom

published online 18 January 2010.

Marco Zarbin and David Chu, Editors

Abstract 

Reconstruction of the upper eyelid is one of the greatest challenges facing the orbitofacial surgeon. This comprehensive review outlines the principles of reconstruction and the range of techniques available. Methods of assessing upper eyelid defects are discussed, and an algorithm for reconstruction based on defect size and lamellar involvement is given. The review contains numerous detailed examples of reconstructive techniques, including secondary intention healing, local flaps, distal flaps, simple and composite grafts, occlusive and non-occlusive methods, and canthal fixation. Eyebrow and eyelash reconstruction is also covered.

Key words: eyelid tumor, surgical techniques, tarsoconjunctival upper eyelid flap, upper eyelid graft, upper eyelid reconstruction

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 The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article.

PII: S0039-6257(09)00268-9

doi:10.1016/j.survophthal.2009.10.004

Survey of Ophthalmology
Volume 55, Issue 3 , Pages 256-271, May 2010

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