Treatment of post-blepharoplasty lower lid retraction by free tarsoconjunctival grafting

Abstract

We conclude that in the specific case of post-blepharoplasty lower lid retraction, free tarsoconjunctival grafting is both safe and effective.

Treatment of Lower Eyelid Retraction by Retractor Release and Posterior Lamellar Grafting: An Analysis of 659 Eyelids in 400 Patients

“…1,2,4 -6,8,9,11-13,16,21,22,25 A second group states that their patients improved with regard to scleral show, lagophthalmos, subjective symptoms, and signs such as SPK, but no actual measurements are given. 3,17,18,20,23 The last group includes objective measurements in their study; 7,10,14,15,19,24 these are discussed here. Holds et al 7 describe at least 1 mm of scleral show improvement in 200 eyelids, with an in-glove retractor lysis technique.…”

Composite Septo-Retractor Recession; A Surgical Technique for Lower-Eyelid Retraction and Review of the Literature

“…4,13,14,29,30 Free tarso-conjunctival grafts can also carry significant problems with reported complication rates of up to 25% 10,29 including pyogenic granuloma, wound dehiscence, and chronic chemosis. 10,27 Baylis et al 12 reported the use of auricular grafts in 83 eyelids and found a lower complication rate of 3.6%, including foreign-body sensation and poor eyelid contour. Homologous grafts carry the risk of disease transmission, 31 and sclera is known to be susceptible to shrinkage, necrosis, and migration.…”

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

“…In addition, the use of upper eyelid tarsus necessitates harvesting on the upper eyelid on the affected side or on a healthy eyelid on the contralateral side, and this harvesting can result in secondary retraction of the upper eyelid and postoperative lagophthalmos. 21,22 The use of cartilage grafts for the correction of lower eyelid abnormalities is not new. In 1962, Millard used a composite graft of cartilage and mucosa from the nasal septum for eyelid repair.…”