Eyelid Laceration and Lid Defects

Abstract

Eyelid reconstruction is a common challenge that ophthalmic and plastic surgeons encounter. Facial trauma, tumors, and congenital colobomas are examples of instances when such procedures are required. Knowledge of the anatomy of the periorbital tissues is crucial for the precise repair of the involved structures to ensure proper lid function and to prevent excessive cicatrix formation. The surgeon should be able to choose the appropriate technique and should be familiar with the step-by-step plan in order to prevent loss of excessive tissue. Different approaches will be discussed with emphasis on eyelid trauma. However, all these can be applied to periocular tumor excision and reconstruction as well.