Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/62904
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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
1537-2677
Statement of
Responsibility: 
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; Conjunctiva; Surgical Flaps; Humans; Hypertrophy; Postoperative Complications; Blepharoplasty; Retrospective Studies; Adult; Aged; Aged, 80 and over; Middle Aged; Female; Male
Rights: Copyright: ©2010The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
RMID: 0020102749
DOI: 10.1097/IOP.0b013e3181c9bb3b
Appears in Collections:Opthalmology & Visual Sciences publications

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