Treatment of severe lower eyelid retraction with scleral and free skin grafts and bipedicle orbicularis flap

Ophthalmic Surg. 1990 Mar;21(3):167-72.

Abstract

Surgical repair of lamellar shortening must treat the anterior and posterior shortening, plus the scarring between Mueller's muscle, capsulopalpebral fascia, and periosteum. We describe a repair method in which a full-thickness, free skin graft is used to correct the anterior lamellar defect, and a homologous scleral graft is used to correct the posterior defect. Vascular support for the two free grafts is provided by a bipedicular orbicularis muscle flap.

MeSH terms

  • Eyelid Diseases / surgery*
  • Humans
  • Methods
  • Prognosis
  • Sclera / surgery*
  • Skin Transplantation*
  • Surgical Flaps*