Leone C R, Van Gemert J V
Department of Ophthalmology, University of Texas Health Science Center, San Antonio.
Arch Ophthalmol. 1989 May;107(5):758-60. doi: 10.1001/archopht.1989.01070010776045.
We describe a method of subtotal lower eyelid reconstruction employing either a free tarsoconjunctival graft or a transpositional tarsoconjunctival flap from the upper lid together with a bipedicle skin-muscle advancement flap from the lower lid. A full-thickness skin graft is placed into the defect created by the movement of the bipedicle flap. This technique obviates the need to use a lid-sharing procedure that occludes the fissure and would be indicated for the monocular patient or one who would be at a serious disadvantage with the eye covered for several weeks.
