Lacrimoplasty: a new bone fixation technique for recurrent lacrimal gland prolapse
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Lacrimal gland prolapse is an often ignored and undiagnosed condition in patients seeking blepharoplasty. Recognition and correct treatment can avoid poor outcomes in such cases. Traditional techniques of treating the prolapsed lacrimal gland include light cautery, partial excision, and periosteal suture fixation. A few series of lacrimal gland prolapse have been published in the literature. But a literature search failed to reveal any reports on the recurrence of surgically treated lacrimal gland prolapse. We report the incidence of lacrimal gland prolapse purely based on the external deformity and also report a case of recurrence following surgical lacrimal gland periosteal hitching, in a patient with blepharochalasis syndrome 4 years post the original correction. A new technique of true bony fixation of the recurrent prolapsed lacrimal gland to the lacrimal fossa is described. We call the new technique ‘lacrimoplasty’. An operative video is also included to demonstrate the technique step by step.
Level of Evidence: level V, therapeutic study.
KeywordsLacrimal gland prolapse Recurrent lacrimal gland prolapse Lacrimoplasty Periosteal fixation Blepharochalasis syndrome Blepharoplasty
Compliance with ethical standards
Conflict of interest
Sunil Choudhary, Soumya Khanna, Raghav Mantri, Prateek Arora, Rohit Jain and Shaunak Dutta declare they have no conflict of interest.
No financial funding was received
Patient provided informed consent for inclusion in the study and also for photographs.
This study has been approved by the appropriate institutional research ethics committee and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.
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