SYMPTOMS 

Outward or inward turning of eyelids leading to exposure of eye ball. Most common cause is contractures after burns. 

Description of the procedures

This almost always needs surgical release of contracture and if the surrounding skin is fine then it is covered with rotation of skin (rotational local or advancement flap) . If surrounding skin is also burned then Full thickness skin graft is applied. Skin graft is harvested usually from the back of the ear, shoulder area or groin region. 

Expected  complications 

Minor wound infections can occur

Recurrence can occur if the patient does not moisturize and massage the area after complete healing of graft/flap.

Approximate duration of procedure 

1 to 2 hours or surgery ( in local or general anesthesia)

Approximate duration of hospital stay 

As day care or admission for 1 to 2 days

Chances of success

More than 95%

Long term effects

In 10 to 20 % of cases , due to improper care , recurrence can occur because skin grafts need regular massage to prevent it from developing contractures. 

Setup required for procedure 

Can be done in local anesthesia as outpatient if it’s minor contracture or may need admission for 1 to 2 days for procedure in general anesthesia. 

 

Written by :  Dr. Safdar Ali

Copyrights: Pakistan association of Plastic Surgeons