Correction of Lower Lid Retraction Using Autologous Ear Cartilage Graft.
10.3341/jkos.2011.52.2.136
- Author:
Changho YOON
1
;
Namju KIM
;
Min Joung LEE
;
Hokyung CHOUNG
;
Min Seop PAHN
;
Sang In KHWARG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. resourceful@hanmail.net
- Publication Type:Original Article
- Keywords:
Ear cartilage;
Lower eyelid retraction;
Spacer
- MeSH:
Anophthalmos;
Conjunctiva;
Ear;
Ear Cartilage;
Eye;
Eyelids;
Follow-Up Studies;
Granulation Tissue;
Granuloma, Pyogenic;
Humans;
Medical Records;
Microphthalmos;
Postoperative Complications;
Prostheses and Implants;
Transplants
- From:Journal of the Korean Ophthalmological Society
2011;52(2):136-140
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the surgical results of lower eyelid retraction using autologous ear cartilage graft. METHODS: Fifty patients (54 eyes) who received surgical correction of lower eyelid retraction by lower eyelid retractors and conjunctiva recession from the tarsal plate with autologous ear cartilage grafts from March 2002 to July 2010 were evaluated. Medical records were reviewed and clinical characteristics, surgical outcomes, and postoperative complications were analyzed retrospectively. RESULTS: The use of prosthesis due to anophthalmos or microphthalmos (22 eyes) was the most common cause of lower eyelid retraction. The mean postoperative follow-up period was 16.6 months (1-98 months). Lower eyelid retraction was successfully corrected in 52 of 54 eyes. Postoperatively, 2 cases of corneal erosions, 1 case of conjunctival erosion, and 2 pyogenic granulomas developed. Corneal and conjunctival erosions resolved with conservative management and granulation tissues were removed by excision. CONCLUSIONS: Correction of lower eyelid retraction using autologous ear cartilage graft is an excellent surgical procedure with low complication rates for eyelid retraction of various etiologies.
