Tarsal reconstruction

ABSTRACT

A new operation for vertically short upper lid is dissuced. Twenty one upper lids from 16 patients were operated upon, five were bilateral and 11 unilateral. All lids showed marked vertical shortening, 17 had acccompanying ectropion trichiasis which becomes worst on looking upward, 5 had moreover notching of lid margin. All cases had been subjected previously to surgical interferences, before presentation with heir conditions. The cause of this lid disorder is fully discussed. Its repair was achieved by tarsal reconstruction using cartilage grafts, fresh and stored. The technique of surgical proceedure is explained and results are discussed