Analysis of cosmetic and functional outcomes of cutler-beard procedure used for large upper eyelid defects
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 4
Abstract
Background: Cutler-Beard is an established procedure for reconstruction of full thickness upper eyelid defects. This procedure involves the creation of an advancement flap from the lower lid that includes skin, orbicularis muscle and conjunctiva to fill the upper eyelid defect. Aims and Objectives: The aim of this study is to analyse the cosmetic and functional outcomes of Cutler-Beard procedure used for large upper eyelid defects. Methods: This is retrospective case series analysis of 74 patients who underwent Cutler Beard procedure for upper eyelid defects following excision of upper eyelid malignancy in department of ophthalmology, KGMU from Jan 2011 to July 2016. Data analysis included age and gender of patients, size and location of tumour, intra-operative width of defect, histopathological report, post-operative TBUT, palpebral fissure height measurement (in mid-pupillary line in millimetres) and cosmetic satisfaction . Cosmetic satisfaction was a subjective criterion. Results: Upper eyelid reconstruction was successful without complications in all patients. Mean follow up of patients was of 18.14 months (6 weeks – 36 months). 57 cases showed good cosmetic satisfaction, 17 fair while none were unsatisfied. 22 patients had initial foreign body sensation. Majority showed straightening of upper eyelid curvature. All patients had adequate eyelid closure. Conclusions: Cutler-Beard procedure provides good functional relief with minimal cosmetic issue.
Authors and Affiliations
Apjit Kaur, Ajay Kumar Arya, MM Goel
Keywords
Related Articles
- EP ID EP243767
- DOI -
- Views 104
- Downloads 0
Surgical and visual outcome of posterior polar cataract
Purpose To evaluate the surgical and visual outcome of manual small incision cataract surgery in patients with posterior polar cataractMaterial and MethodsA prospective study was conducted from June 2018 to August 2018 2...
Adenolymphoma of the lacrimal gland: A very rare case report
Adenolympoma also known as warthins tumor is the second most common benign tumor of the parotid gland characterized by slowly growing painless mass occurring in elderly people over the age of 60 years Histopathologically...
An unusual presentation of traumatic optic neuropathy
Orbital Apex fractures are rare, but debilitating illness affecting vision and they are mostly associated with intracranial injury. We report a four year old child with isolated orbital apex fracture following trivial tr...
Intraoperative bleeding during lacrimal sac surgery
Intraoperative blood loss is a problem in lacrimal sac surgery. In this prospective double blind study we compared the intraoperative blood loss in patients having preoperative tranexamic acid, ethamsylate, botropase and...
Orbital teratomas: An overview
Teratoma accounts for almost 6.6% of childhood tumours. The most common locations for teratomas are gonadal, sacrococcygeal (57%), retroperitoneal, and mediastinal regions. Teratomas are usually considered as benign tumo...