Evaporative dry eye following modified Hughes flap reconstruction

Wang, Michael T.M.; Kersey, Thomas; Sloan, Brian; Craig, Jennifer P.

doi:10.1111/ceo.13142

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…Following the same principles, a reverse Hughes flap, which transfers a pedicled tarsoconjunctival flap from the lower eyelid to the posterior lamellar defect of the upper eyelid, has been used for large upper eyelid reconstruction [ 81 , 82 ]. However, these eyelid-sharing procedures lead to meibomian gland loss, lid margin abnormalities, exposure keratopathy [ 83 ], and dry eye symptoms [ 84 , 85 ]. Furthermore, long-term vision occlusion also limits their application, especially in monocular patients [ 86 ].…”

Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning

confidence: 99%

Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques

Yan

et al. 2022

Ophthalmol Ther

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Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.

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