Demographic Pattern and Management of Full Thickness Eyelid Defects.

Background The eyelids form an important aesthetic unit of the face. Their closure protects the globe and maintains the integrity of tear film. Defects of the eyelid are either congenital (coloboma) or acquired. Reconstruction of the eyelids should be done as early as possible to restore the anatomy and function of eyelids. Objectives To study the demographic pattern the full thickness eyelid defects in our state which is located in the high altitude Himalayan region. Various eyelid reconstruction methods, their complications, the functional and cosmetic outcome in these patients were also studied. Methodology: The research was carried from January 2012 to December 2018. Ninety patients with acquired eyelid defects were included in the study. Defects were classified as group A, B and C as per the size and reconstructed by various appropriate reconstructive eyelid procedures. Results With regard to the surgical technique we had the best results in direct closure and McGregor flap techniques both in terms of aesthesis and function. Overall functional and aesthetic outcome of these reconstructive procedures were found to be excellent in 76.66% and 66.66% patients respectively. [ABSTRACT FROM AUTHOR]