Correction of Lower Lid Retraction Combined with Entropion using an Ear Cartilage Graft in the Anophthalmic Socket

Abstract

Purpose: To investigate the surgical results of an ear cartilage graft and supplemental procedures for correcting lower lid retraction combined with entropion in anophthalmic patients. Methods: We reviewed retrospectively the medical records of 7 anophthalmic patients with lower lid retraction and entropion, who received a posterior lamellar ear cartilage graft and one or both of lateral tarsal strip or eyelash-everting procedure between March 1998 and March 2003. Preoperative and postoperative lid and socket statuses were also investigated. Results: Ear cartilage grafts were performed in all 7 patients, lateral tarsal strips in 6, and eyelash-everting procedures in 5. Postoperative follow-up durations ranged from 4 to 28 months (average 12.6 months). Retractions were corrected during follow-up in all patients. There were no cases of entropion immediately after surgery. However, the eyelashes of the lower lid returned to an upright position in 4 patients, but not so severe as to touch the ocular prosthesis, and thus did not require surgical correction during follow up. Conclusions: Lower lid retraction combined with entropion in anophthalmic patients can be corrected effectively using an ear cartilage graft with selective, supplemental procedures.

Upper Eyelid Coloboma Repair Using Accessory Preauricular Cartilage in a Patient With Goldenhar Syndrome: Technique Revisited

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How to Repair the Lower Eyelid Retraction, Resulting from the Primary Surgery for Epiblepharon?

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Auricular Cartilage Grafting to Correct Lower Conjunctival Fornix Retraction and Eyelid Malposition in Anophthalmic Patients

“…All patients had satisfactory functional and cosmetic results. More recently, Moon et al 33 reported their results of ear cartilage grafting to correct lower eyelid retraction combined with entropion in 7 anophthalmic sockets. In their study, eyelid retraction was corrected with no recurrences during follow-up, but entropion of the lower eyelid recurred in 4 patients.…”