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Lower Eyelid Retraction Repair with Resorbable Polydioxanone Implants.

Adel H Alsuhaibani1, Yasser H Al-Faky1

  • 1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Middle East African Journal of Ophthalmology
|December 21, 2016
PubMed
Summary

This study shows that resorbable polydioxanone implants effectively repair lower eyelid retraction. The absorbable polydioxanone implant provides good lower eyelid support and improves ocular surface symptoms.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Biomaterials

Background:

  • Lower eyelid retraction can result from various conditions, including trauma, thyroid eye disease, and post-blepharoplasty complications.
  • Effective repair is crucial for protecting the ocular surface and restoring facial aesthetics.

Purpose of the Study:

  • To present a novel surgical technique for correcting lower eyelid retraction.
  • To evaluate the efficacy and safety of using resorbable polydioxanone implants as a middle lamellar spacer.

Main Methods:

  • A retrospective case series of eight patients with lower eyelid retraction was conducted.
  • Patients underwent repair using an absorbable polydioxanone implant as a middle lamellar spacer.
  • A minimum follow-up period of 12 months was required for inclusion.
Keywords:
Eyelidpolydioxanoneretractionspacer

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Main Results:

  • All eight patients experienced improved ocular surface symptoms post-surgery.
  • An average improvement of 2.7 mm in eyelid retraction was observed (range, 1.5–4 mm).
  • The polydioxanone implant was well-tolerated, with no significant complications reported.

Conclusions:

  • Resorbable polydioxanone implants serve as an effective middle lamellar spacer for lower eyelid retraction repair.
  • This technique offers a viable alternative for addressing middle lamella deficiencies and providing lower eyelid support.