Premium
Management of oculoplastic problems in the OOKP eye
Author(s) -
GOMAA A,
MORRIS S,
BRITTAIN P,
HEROLD J,
THORP S,
LIU C
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.4327.x
Subject(s) - medicine , cosmesis , palpebral fissure , surgery
OOKP surgery (either stage 1 or 2) can result in complex oculoplastic complications. The majority of these are mucous membrane graft‐related, including graft thinning, ulceration and infection or overgrowth onto the anterior optical cylinder. However, lid malposition, forniceal shortening and widening of the palpebral aperture may also occur. Appropriate timely surgical intervention of these is crucial to protect the underlying OOKP lamina. In addition, correcting over‐exposure of the globe aids in improved comfort for the patient. Adjustments of the lid and forniceal abnormalities can enhance comfort, cosmesis and prosthetic shell stability. Retrospective case note analysis of all patients treated 1996 – 2009 at the Sussex Eye Hospital, Brighton, UK, was performed. This study reports the prevalence and type of oculoplastic complications found and describes the surgical management for each.