2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 11: Reconstructive Eyelid Surgery
Highlights
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Precise anatomic tissue realignment can minimize the need for secondary repairs.
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Secondary repair of eyelid trauma often requires more complex tissue rearrangement to address the cicatricial changes.
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The location of a scar in relation to the relaxed skin tension lines determines the best combination of reconstructive techniques to utilize.
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Observation for several months may allow for spontaneous improvement prior to consideration of surgery for traumatic ptosis.
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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.