April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Dry-eye Symptoms In Patients After Eyelid Reconstruction With Full-thickness Eyelid Defects
Author Affiliations & Notes
  • Johannes Gonnermann
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Julian P. Klein
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Matthias K. Klamann
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Anna-Karina Maier
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Uwe Pleyer
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Antonia M. Joussen
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Eckart Bertelmann
    Department of Ophthalmology, University Hospital of Berlin, Berlin, Germany
  • Footnotes
    Commercial Relationships  Johannes Gonnermann, None; Julian P. Klein, None; Matthias K. Klamann, None; Anna-Karina Maier, None; Uwe Pleyer, None; Antonia M. Joussen, None; Eckart Bertelmann, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 3808. doi:
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      Johannes Gonnermann, Julian P. Klein, Matthias K. Klamann, Anna-Karina Maier, Uwe Pleyer, Antonia M. Joussen, Eckart Bertelmann; Dry-eye Symptoms In Patients After Eyelid Reconstruction With Full-thickness Eyelid Defects. Invest. Ophthalmol. Vis. Sci. 2011;52(14):3808.

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

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Abstract

Purpose: : Full-thickness eyelid defects are conventionally reconstructed by either a Hughes flap or a Cutler-Beard bridge flap. Since the structure of the eyelid and its components are necessary for the tear film production and stability we investigated dry-eye symptoms after eyelid reconstruction.

Methods: : Seventeen eyes of patients formerly treated by surgery enclosing Hughes flaps (N=16) and Cutler-Beard bidge flaps (N=1) were compared to untreated healthy eyes (N=17) due to dry-eye symptoms. Follow up after surgery ranged from 3 to 63 months (mean 24.88 ± 17.86). Tear film was evaluated using Schirmer’s test and tear film break-up time (BUT). Additionally ocular surface temperature was measured by Tomey G 1000 Thermography.

Results: : There was no significant difference in Schirmer’s Test, BUT and ocular surface Temperature (p>0.05) between patiens after full thickness eyelid reconstruction and control group. 63.6% of the patients after surgery had minor complications such as notching of the lid margin (11/17) and mild tendency to ectropion (6/17) which did not require revision.

Conclusions: : Despite frequent minor complications and occasional major complications the use of tarsoconjunctival grafts remains a valuable procedure in the surgeon’s choice for the reconstruction of major eyelid defects. Furthermore it offers sufficient tearfilm composition and stability.

Keywords: eyelid • wound healing • cornea: tears/tear film/dry eye 
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