ABSTRACT
To evaluate the different procedures of the reconstruction of post traumatic eyelids contractures with regards to the functional and cosmetic results. Descriptive case series. Department of Plastic and Reconstructive Surgery at Jinnah Post Graduate Medical Centre [JPMC] Karachi, from 2003 to 2008. All patients admitted with eyelids contractures were included. A detailed history was taken. Examination of eyes were done, which included visual acuity and near vision test. Test for tear formation, staining of the cornea for any ulcer or rupture of cornea due to injury, were also performed. Priority was given to vision restoration. Culture and sensitivity of discharge from eye, if any, was also done. Patients were subjected to different surgical procedures. There were total of 30 patients with 16 males and 14 females. The age of the patients ranged from 7 years to 58 years. Excision of lesion and primary closure was done in two patients [6.6%], rotation advancement flap in two [6.6%], release and medium thickness grafting in thirteen [43.3%], release and Wolfe grafting in eight patients [26.7%] and Z plasty in five [16.7%] cases. Medium thickness skin graft is preferred in up to [3/4th] loss of eyelid thickness and primary closure is appropriate where up to 25% loss is found