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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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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.
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.
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.
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.
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