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Review
. 2019 May;33(2):92-102.
doi: 10.1055/s-0039-1685473. Epub 2019 Apr 26.

Eyelid Malposition Repair: A Review of the Literature and Current Techniques

Ashley J Guthrie  1 , Pooja Kadakia  2 , Joshua Rosenberg  1
Affiliations
Review

Eyelid Malposition Repair: A Review of the Literature and Current Techniques

Ashley J Guthrie et al. Semin Plast Surg. 2019 May.

Abstract

Eyelid malposition is a challenging problem faced by surgeons. Given the delicate nature of the eyelid and its complex anatomy, eyelid repair requires both a comprehensive understanding of eyelid anatomy along with thorough presurgical planning and surgical execution. A wide range of options is available for eyelid reconstruction but the location and extent of the deformity often dictate the type of repair. This article is a review of commonly encountered forms of eyelid malposition. Relevant reconstructive techniques and current evidence-based methods of reconstruction are discussed in detail. Anatomical considerations, the nature of specific defects, pearls of preoperative evaluation, and the reconstructive options available to the facial plastic and oculoplastic surgeon are outlined. Topics discussed include ectropion, entropion, eyelid retraction, and blepharoptosis.

Keywords: blepharoptosis; ectropion; entropion; eyelid malposition; retraction.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Upper eyelid anatomy.
Fig. 2
Fig. 2
Lower eyelid anatomy.
Fig. 3
Fig. 3
( A – E ) Lateral tarsal strip procedure.
Fig. 4
Fig. 4
( A – E ) Capsulopalpebral fascia repair.
Fig. 5
Fig. 5
( A – C ) Cicatricial ectropion repair with skin graft.
See this image and copyright information in PMC

References

    1. Papel I D. Shelton, CT: People's Medical Publishing House; 2012. Blepharoplasty: Thomas Procedures in Facial Plastic Surgery.
    1. Codner M A, McCord C D., Jr. Boca Raton, FL: CRC Press; 2016. Eyelid and Periorbital Surgery.
    1. Hahn S, Desai S C. Lower lid malposition: causes and correction. Facial Plast Surg Clin North Am. 2016;24(02):163–171. - PubMed
    1. Yang P, Ko A C, Kikkawa D O, Korn B S. Upper eyelid blepharoplasty: evaluation, treatment, and complication minimization. Semin Plast Surg. 2017;31(01):51–57. - PMC - PubMed
    1. Wolfley D E, Guibor P. Preoperative evaluation of the blepharoplasty patient. Facial Plast Surg. 1984;1(04):284–291.