Lower eyelid retraction repair with resorbable polydioxanone implants

Purpose: To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants. Patients and Methods: This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid...

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Bibliographic Details
Published in:Middle East African journal of ophthalmology 2016-10, Vol.23 (4), p.311-314
Main Authors: Alsuhaibani, Adel, Al-Faky, Yasser
Format: Article
Language:English
Subjects:
Absorbable Implants
Adult
Blepharoplasty - methods
Brief Communication
Care and treatment
Crystalline polymers
Eye diseases
Eyelid Diseases - surgery
Female
Humans
Male
Medical research
Middle Aged
Polydioxanone
Prosthesis Implantation
Reconstructive Surgical Procedures
Retrospective Studies
Young Adult
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Summary:Purpose: To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants. Patients and Methods: This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid eye disease, lower eyelid blepharoplasty, and long-standing facial palsy were treated with middle lamellar spacer using absorbable polydioxanone implant. All patients were recruited from the King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Only patients with minimum follow-up of 12 months were included in the study. Results: Eight patients (4 males and 4 females) underwent lower eyelid retraction repair using absorbable polydioxanone implant. The mean age was 43 years (range, 23-63 years). All patients noted improved ocular surface symptoms. The improvement in eyelid retraction ranged from 1.5 to 4 mm with an average of 2.7 mm postoperatively. The implant was well tolerated with no major complications. Conclusions: Several options for spacer materials are available. Absorbable polydioxanone implants seem to be an effective middle lamellar spacer that is a good alternative for repairing middle lamella related lower eyelid retraction and lower eyelid support.
ISSN:0974-9233
0975-1599
0975-1599
0974-9233
DOI:10.4103/0974-9233.194082