A total of 217 patients with posttraumatic cicatricial deformations of the eyelids were treated. The authors resort to a functional approach when assessing posttraumatic injuries of the eyelids and propose their own anatomic and functional classification of cicatricial deformations of the eyelids, based on the principle of anatomic and functional entity of the eye and its defense system. This classification specifies the basic functions of the eyelids as components of the defense mechanism of the eye, offers criteria for assessing the cicatrices proper, and presents the basic characteristics of combined cicatricial deformations of the eyelids and complications thereof. The authors used this classification to plan the treatment strategy, scope of surgical intervention, and order of stages, and to define the indications for the use of various methods of blepharoplasty in patients with cicatricial deformations of the eyelids.

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