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Autogenous Dermis Skin Grafts in Lower Eyelid Reconstruction

2003; Lippincott Williams & Wilkins; Volume: 19; Issue: 5 Linguagem: Inglês

10.1097/01.iop.0000087070.83353.99

1537-2677

Wade D. Brock, William Bearden, Thomas Tann, John A. Long,

Ocular Disorders and Treatments

In Brief Purpose To describe a new procedure using autogenous dermis to correct lower eyelid retraction secondary to posterior lamella shortening. Methods A retrospective case series of 10 eyelids in 7 patients. Autogenous dermis grafts were created from postauricular skin by using dermabrasion. The grafts were placed as posterior lamellar spacers to provide elevation and support for the retracted lower eyelids. The postoperative eyelid height, contour, and complications were documented. Results All patients demonstrated an elevation of the lower eyelid and a decrease in inferior scleral show. Minimal and transient complications were encountered. Conclusions The technique described offers a simple alternative to other methods of posterior lamellar lower eyelid reconstruction. A new technique that uses autogenous dermis as an eyelid spacer has been developed to aid in the correction of lower eyelid retraction.