Reverse Lid Swinging Approach: A Case Series
Kenneth K H Lai1, Matthew C W Lam2,3, Tracy Y T Kwok2,3
1Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital.
Ophthalmic Plastic and Reconstructive Surgery
|January 17, 2024
Summary
The reverse lid swinging approach offers safe and effective orbital tumor removal and abscess drainage. This technique provides excellent cosmetic results with no visible scars and easy access to medial orbital lesions.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Orbital Surgery
Background:
- Orbital tumor removal and abscess drainage require surgical access to orbital lesions.
- Traditional surgical approaches may have limitations in accessing medial orbital structures.
- The development of novel surgical techniques is crucial for improving patient outcomes.
Observation:
- The reverse lid swinging approach involves lateral canthotomy and superior lateral cantholysis for upper eyelid mobilization.
- An incision in the superonasal conjunctival fornix facilitates orbital exposure.
- This technique was utilized in four patients undergoing orbitotomy.
Findings:
- Three patients underwent orbital tumor removal, and one patient had orbital abscess drainage.
- All four procedures were performed without complications, including optic nerve dysfunction or extraocular dysmotility.
- Excellent cosmetic outcomes were achieved, with no visible external scarring in any patient.
Implications:
- The reverse lid swinging approach provides efficient access to medial orbital lesions.
- This technique demonstrates safety and efficacy for orbital tumor removal and abscess drainage.
- The described method offers a valuable alternative for orbital surgery, prioritizing functional and aesthetic results.
