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Lower eyelid full-thickness vertical lengthening.

American Journal of Ophthalmology

|July 1, 1979

Summary

Lower eyelid retraction from full-thickness component loss can be effectively treated using a tarsal-conjunctival flap and skin graft. Upper eyelid retraction was also improved with Müller

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Area of Science:

Ophthalmology
Reconstructive Surgery

Background:

Lower eyelid retraction can result from the loss of full-thickness eyelid components.
Management of such defects often requires complex reconstructive techniques.

Observation:

Two patients presented with lower eyelid retraction due to full-thickness component loss.
One patient also exhibited upper eyelid retraction.

Findings:

Successful surgical correction of lower eyelid retraction was achieved using a tarsal-conjunctival flap combined with a skin graft.
Simultaneous upper eyelid retraction management involved Müller's muscle excision and levator aponeurosis recession.

Implications:

This combined surgical approach offers a viable solution for complex eyelid retraction cases.
The technique addresses both lower and upper eyelid abnormalities in a single operative session.

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