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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2010  |  Volume : 17  |  Issue : 2  |  Page : 161-164

Reconstruction of large upper eyelid defect with Two composite lid margin grafts

From the Research Institute of Ophthalmology, Giza, Egypt

Correspondence Address:
Amr Hafez
MAGRABI Hosp. 106, Rumaila Bldg. Al Nahda St. P.O. Box: 513, Postal code 112, Muscat Sultanate of Oman, Oman

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.63083

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Purpose: To evaluate the results of reconstruction of large defects in the upper lid using two composite contra-lateral eyelid margin grafts. Methods: This is an interventional case series in which a large full thickness defect of the upper lid was reconstructed in 7 patients using two composite eyelid margin grafts and myocutaneous advancement. The grafts were taken from both eyelids of the contra lateral eye and the final outcome was evaluated. Results: Cosmetic results were achieved in both donor and recipient eyes satisfying to all patients; no graft sloughing was seen. Transient edema, punctate epithelial erosions, lid notching, madarosis and ptosis were seen in the early postoperative period. Conclusion: Reconstruction of a large defect in the upper lid with two composite eyelid-margin grafts is an easy, safe, effective technique with minimal complications.

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