Correction of depressed supratarsal sulcus by an arterial subcutaneous composite flap

A depressed supratarsal sulcus can be filled by means of a soft-tissue arterial flap including subcutaneous tissue, galea, and periosteum. The donor site is the temporal region, and the flap is passed subcutaneously into the upper eyelid. The same type of flap can also be used as filling material in other situations, such as Treacher-Collins malar bone defects. The correction of a depressed supratarsal sulcus by anophthalmic orbits is to be done only after complete and careful adjustment of the eye prosthesis by the ocularist, or after adjustment of the socket itself.