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Spontaneous reformation of upper eyelid
1Department of Ophthalmology, Gwynedd District Hospital, Bangor, Wales.
The British Journal of Ophthalmology
|November 1, 1988
Summary
Upper eyelid wounds healed well with spontaneous repair, challenging the need for immediate reconstruction. This study shows excellent cosmetic and functional outcomes for specific excision sizes, suggesting a less invasive approach for eyelid lesions.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Wound Healing
Background:
- Current oculoplastic surgery tenets often mandate immediate reconstruction for eyelid wounds.
- Eyelid lesions and injuries require effective treatment strategies balancing functional and aesthetic outcomes.
Purpose of the Study:
- To evaluate the efficacy of spontaneous wound repair for various upper eyelid excisions.
- To determine the safety and outcomes of non-reconstructive healing for eyelid defects.
Main Methods:
- Twenty-nine patients with upper eyelid lesions or injuries underwent surgical excision.
- Wounds were allowed to heal by spontaneous repair, with progressive increases in excision size and depth.
- Evaluated ocular, palpebral, functional, and cosmetic outcomes.
Main Results:
- All 29 patients achieved satisfactory healing without ocular or palpebral complications.
- Functional results were normal across all patients.
- Excellent cosmetic results were observed in 27 patients; acceptable results in 2.
Conclusions:
- Spontaneous repair is a viable and effective method for upper eyelid wounds of specific dimensions (up to 10mm horizontal, 5-6mm height for full-thickness; 13x10mm for juxtamarginal).
- This approach challenges the routine requirement for immediate surgical reconstruction in oculoplastic surgery.
- Offers a less invasive alternative with excellent functional and cosmetic outcomes for select eyelid defects.