Surgical repair of post-injury ectropion of lower eyelid

Abstract

The purpose of this study was to develop reconstructive techniques for post-injury lower eyelid ectropion repair using allogenic transplants manufactured according to Alloplant technique. Material and methods. We managed and followed up 110 patients with unilateral lower eyelid ectropion that occurred post-traumatically 1 to 6 years ago. All patients underwent ectropion grading and measured for palpebral rim length and widt hand lagophthalmos degree. Surgical interventions were performed using Alloplant biomaterial, for eyelid plastic surgery and allogenic tendon fibers. The efficiency of surgical operation was assessed by the absence/presence of ectropion and lagophthalmos, change in palpebral rim width as compared to the healthy fellow eye in early and long-term post-surgery period. Results. For 99 patients (90 %), ectropion and lagophthalmos were fully eliminated. In 11 patients, insufficient eyelid closure within 1-3 mm was observed, which was corrected with additional operations. Conclusions. We developed an effective method of post-traumatic lower eyelid ectropion repair using Alloplant for eyelid plastics and allogenic tendon fibers, which contributes to normal eyelid position recovery and palpebral rim symmetry of the affected and the healthy fellow eye // Russian Ophthalmological Journal, 2016; 4: 30-6 . doi: 10.21516/2072-0076-2016-9-4-30-36.