Purpose: To describe how a vertical lid split helps excision and reconstruction of conjunctival tumors.
Methods: All patients with a limited view of conjunctival tumors involving the fornices underwent a vertical lid split procedure to improve access during resection and reconstruction.
Results: There were 11 cases where vertical lid splits were performed to assist excision and reconstruction of conjunctival tumors on patients between 2015 and 2019. There were 4 male and 7 female patients, 50-85 years of age, mean age 67.2 years. Four patients had invasive malignant melanoma, 2 melanoma in situ, 3 invasive squamous cell carcinoma, and 2 squamous cell carcinoma in situ. The authors have had no local reoccurrences in 9 patients (follow-up 8-54 months, mean 18 months). One patient's deep margins were involved and proceeded to exenteration, and 1 patient died from liver metastases.
Conclusions: A vertical lid split incision of either or both eyelids, well away from the visible tumor edge splays the lid open allowing the whole conjunctival surface to be stretched out and viewed as a single flat sheet. This aids excision and reconstruction of the tumor, potentially reducing the risk of seeding and simplifying the reconstruction.
Purpose: Euryblepharon is a rare congenital eyelid malformation characterized by symmetrical horizontal enlargement of the palpebral fissure. The eyelid is shortened vertically compared with the horizontal dimension. The lateral canthus is most commonly affected.
Background: Reconstruction of the lids is a significant challenge for ocular plastic surgeons as it requires the greatest functional and cosmetic outcomes. This study aimed to share the experience of Tenzel rotational flap in upper and lower lid reconstruction of anterior lamella at a tertiary eye care hospital of Karachi, Pakistan.
Methods: 10 patients with upper and lower eyelid defects over a period of 6 months were a part of this prospective interventional clinical study.
- The study investigates the long-term effects of double eyelid tapes (DET) on eyelid structure and outcomes of surgeries, using a sample of 267 outpatients over two years.
- Out of surveyed participants, many reported discomfort and permanent changes to eyelid shape due to DET use, with significant complications like asymmetry and scars observed only in DET users.
- Histological analysis showed DET users had increased collagen levels and different skin structures compared to non-users, raising concerns about the implications for eyelid surgeries.
Enophthalmia, characterized by abnormally sunken eyeballs and associated eyelid issues, poses both functional and aesthetic challenges for patients, leading to a demand for improved surgical techniques to rejuvenate the periorbital area.
The study introduces a modified transconjunctival lower blepharoplasty (TCLB) that incorporates additional de-flaming and decompression maneuvers, resulting in enhanced eye-opening capabilities and a reduction of visible symptoms in both upper and lower eyelids.
After analyzing the results from 40 patients, statistical data indicated significant improvement in palpebral fissure height (PFH), confirming that the modified TCLB led to more effective surgical outcomes compared to traditional methods.
Purpose: Investigate the most appropriate mathematical formula to objectively express upper eyelid contour symmetry.
Methods: 62 eyes of 31 patients were included in the study. The upper eyelid contour symmetry of the patients was classified subjectively (independent of MRD1) as poor, acceptable, and good by three oculoplastic specialists (senior, expert, and junior surgeon).
