Eyelid Reconstruction

Direct Closure
30% defects in young patients
Up to 45% in older patients (laxity)
Lateral cantholysis - additional 5 mm
Tarsal defect should be squared
• The excision is vertically oriented in the tarsus:
pentagon shape
• Approximation of the pentagon:
straight lid margin without notching
• The knot must be tied
away from the conjunctiva
to prevent irritation
• The wound is closed in
three layers
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