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The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
Volume 32, 2013 - Issue 1
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Case Reports

Use of Dermal Filler to Improve Exposure Keratopathy in a Patient with Restrictive Dermopathy

Qiang KwongOphthalmology Department, St Thomas’s Hospital LondonUK
,
Raman MalhotraCorneo-Plastic Unit, Queen Victoria Hospital NHS Foundation Trust East GrinsteadUK
,
Ana M. S. MorleyOphthalmology Department, St Thomas’s Hospital LondonUK
,
Shehla MohammedClinical Genetics Department, Guy’s Hospital LondonUK
&
Jonathan H. NorrisOxford Eye Hospital, Oxford University Hospitals NHS TrustUKCorrespondence[email protected]
Pages 70-72 | Received 06 Aug 2012, Accepted 29 Oct 2012, Published online: 06 Feb 2013
 
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ABSTRACT

A 26-year-old female with “Progeria-like” phenotype presented with bilateral lagophthalmos and exposure keratopathy. Given the paucity of available skin to harvest, in conjunction with co-morbidities, standard surgery in the form of conventional skin grafting was contraindicated. We highlight the role of dermal fillers in such situations to reduce upper lid sulcus hollowing and increase weight of the upper lid in order to reduce lagophthalmos.

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