May 2007
Volume 48, Issue 13
ARVO Annual Meeting Abstract  |   May 2007
Acellular Porcine Dermis: Results From Surgical Repair of Clinically Significant Lower Lid Retraction
Author Affiliations & Notes
  • K. Kalwerisky
    Ophthalmology, WHMC, San Antonio, Texas
  • D. E. E. Holck
    Ophthalmology, WHMC, San Antonio, Texas
  • Footnotes
    Commercial Relationships K. Kalwerisky, None; D.E.E. Holck, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 3457. doi:
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      K. Kalwerisky, D. E. E. Holck; Acellular Porcine Dermis: Results From Surgical Repair of Clinically Significant Lower Lid Retraction. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3457.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose:: To evaluate the clinical outcome of lower lid recession repair using acellular porcine dermal tissue.

Methods:: Eight patients with clinically significant lower lid recession causing visually significant lower lid retraction and keratopathy were included in this review. All patients demonstrated inferior scleral show and keratopathy pre-operatively. Lids were recessed using a transconjunctival approach and underwent surgical correction with acellular porcine dermal graft tissue. Each graft measured 10 mm in height, 25-28 mm in width and 1 mm in thickness. Patients were evaluated at 3 and 6 month pos-operative intervals.

Results:: No patients suffered post-operative complications and none required re-operation. At 6-month post-operative follow-up, slight graft retraction was noted but there was no inferior scleral show and all patients retained the ability for complete lid closure. Improvements in lower lid retraction ranged from 2 to 6 mm with an average of 3.8 mm.

Conclusions:: Acellular porcine dermis appears to be successful when used as a spacer graft for the surgical correction of lower lid recession and may represent an improvement over other graft materials with greater resorption currently in use.

Keywords: anatomy • wound healing • eyelid 

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