Postoperative techniques for corneal protection in Mohs micrographic surgery

Area of Science:

• Ophthalmology
• Plastic Surgery
• Surgical Techniques

Background:

• Periorbital surgery, particularly micrographic surgery of the eyelids and canthal regions, carries a risk of corneal abrasion or injury.
• Sacrificing significant palpebral tissue during these procedures can lead to corneal exposure.
• Protecting the globe is crucial in the interval between initial surgery and subsequent reconstruction.

Purpose of the Study:

• To describe methods for protecting the corneal epithelium after periorbital surgery.
• To provide techniques applicable to both small and large surgical defects.
• To ensure globe protection during the critical period between surgery and reconstruction.

Main Methods:

• Review and description of established and novel techniques for corneal protection.
• Focus on methods applicable to defects resulting from eyelid and canthal micrographic surgery.
• Emphasis on safeguarding the corneal epithelium during the interim phase.

Main Results:

• Specific techniques are presented for managing corneal exposure following periorbital surgery.
• Methods are detailed to protect the corneal epithelium in cases of small to large surgical defects.
• The described measures aim to prevent complications and ensure favorable outcomes.

Conclusions:

• Effective corneal protection strategies are essential following periorbital surgery.
• The described techniques offer solutions for safeguarding the globe and corneal epithelium.
• Proper management can mitigate the risks associated with palpebral tissue sacrifice in reconstructive surgery.