Highlights

• 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.