Injuries to the Eyelids and Their Repair

Abstract

Correction of defects and deformities of the eyelids is a difficult and exacting procedure. These deformities vary from relatively small marginal defects to total loss of the eyelid. Deformities between these extremes may involve only the skin, possibly the skin and ciliary margin, or varying degrees of subtotal full-thickness loss. The eyelid's unique structure allows considerable latitude in mobilizing the tissues. Almost any type of incision or flap may be made. Tarsorrhaphy is necessary in all skin-grafting procedures.

Complications in eyelid surgery relate chiefly to the eyeball. The eyelids usually heal well, but postoperative care is most important.