2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 11: Reconstructive Eyelid Surgery
Precise anatomic tissue realignment can minimize the need for secondary repairs.
Secondary repair of eyelid trauma often requires more complex tissue rearrangement to address the cicatricial changes.
The location of a scar in relation to the relaxed skin tension lines determines the best combination of reconstructive techniques to utilize.
Observation for several months may allow for spontaneous improvement prior to consideration of surgery for traumatic ptosis.
Horizontal eyelid tension is preferred over vertical tightening during tissue closure in order to avoid postoperative eyelid retraction.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.