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Type: Journal article
Title: Hypertrophic changes of the lower eyelid margin after Hughes procedure for eyelid reconstruction: The management and outcomes
Author: Luu, S.
Cannon, P.
Selva-Nayagam, D.
Citation: Ophthalmic Plastic and Reconstructive Surgery, 2010; 26(5):344-347
Publisher: Lippincott Williams & Wilkins
Issue Date: 2010
ISSN: 0740-9303
Statement of
Susie T. Luu, Paul S. Cannon and Dinesh Selva
Abstract: Purpose: To describe the management of lower eyelid margin hypertrophy as a complication of the Hughes procedure for eyelid reconstruction. Methods: A retrospective review of all patients with lower eyelid hypertrophy after Hughes procedure. Patient demographics, management, histologic findings, and outcomes were recorded. The patients underwent wedge excision of the hypertrophic segment of the eyelid with direct closure achieved in the majority of cases. Results: Five patients were identified. The mean age at presentation was 66 years. The mean onset for the hypertrophic margin was 8.4 weeks after the Hughes flap. Four patients complained of ocular irritation and 1 patient had a constant ocular discharge. All patients were concerned by the appearance of the eyelid margin. Four patients received topical steroid treatment and 4 patients underwent triamcinolone subcutaneous injections with no improvement. The wedge excision was successful in 4 patients at the mean follow-up of 10 months, with no recurrence of the hypertrophic margin. One patient was reviewed in another center. Conclusion: The authors found no beneficial effect with topical or subcutaneous courses of steroids on eyelid margin hypertrophy. In situations of horizontal eyelid laxity, a fullthickness wedge excision offers a good means of removing the offending eyelid segment.
Keywords: Eyelids
Surgical Flaps
Postoperative Complications
Retrospective Studies
Aged, 80 and over
Middle Aged
Rights: Copyright: ©2010The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
DOI: 10.1097/IOP.0b013e3181c9bb3b
Appears in Collections:Aurora harvest 5
Opthalmology & Visual Sciences publications

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