Materials and Methods: This is a hospital-based, Prospective Interventional study of 25 patients presenting with eyelid defects due to various causes in the outpatient services of Ophthalmology Department at Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, from October 2018 to September 2020. Eyelid reconstruction was done for lid laceration, post-surgical excision of eyelid carcinoma and cysts, ectropion and entropion. Post-operatively, the eyelids were examined for movement, lagophthalmos, notching, ptosis, ectropion/entropion, retraction, infection, scarring and need for revision surgery in each case.
Results: Out of 25 patients, 21 (84%) were males and 4 (16%) were females. Most common age group was 21-30 years (24%). Right eye was involved in 13 cases (52%) and left eye in 12 cases (48%) and involvement of upper eyelid (48%) and lower eyelid (44%). Most common clinical diagnosis was eyelid laceration (52%) followed by eyelid cysts (28%). Most common reconstructive procedure done was primary closure (52%) followed by excision biopsy (32%). The complications encountered during the immediate post-operative period were dry eye (4%), hematoma (4%) and ptosis (4%). Most common post-operative complication after 2 weeks was ectropion (8%).
Conclusion: The most common cause of eyelid defect is trauma. The most common eyelid reconstructive procedure done is direct closure. The common complications in the immediate post-operative period are dry eye, hematoma and ptosis and the most common post-operative complication after 2 weeks is ectropion. Reconstructive surgery should be planned accordingly after careful appraisal of eyelid defects.
