Correction of Lower Lid Retraction Using Autologous Ear Cartilage Graft.

Yoon, Changho; Kim, Namju; Lee, Min Joung; Choung, Hokyung; Pahn, Min Seop; Khwarg, Sang In

doi:2011.52.2.136

J Korean Ophthalmol Soc > Volume 52(2); 2011 > Article

Original Article

Journal of the Korean Ophthalmological Society 2011;52(2):136-140.
DOI: https://doi.org/10.3341/jkos.2011.52.2.136 Published online February 15, 2011.

Correction of Lower Lid Retraction Using Autologous Ear Cartilage Graft.

Changho Yoon, Namju Kim, Min Joung Lee, Hokyung Choung, Min Seop Pahn, Sang In Khwarg

¹Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. resourceful@hanmail.net
²Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea.
³Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea.
⁴Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
⁵Department of Ophthalmology, SMG-SNU Boramae Medical Center, Seoul, Korea.

자가귀연골이식을 이용한 아래눈꺼풀뒤당김 교정술

윤창호^1,2⋅김남주^1,3⋅이민정¹⋅정호경^1,4⋅반민섭^1,2⋅곽상인^1,2

Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute¹, Seoul, Korea, Department of Ophthalmology, Seoul National University Hospital², Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital³, Seongnam, Korea Department of Ophthalmology, SMG-SNU Boramae Medical Center⁴, Seoul, Korea

Abstract

PURPOSE
To evaluate the surgical results of lower eyelid retraction using autologous ear cartilage graft. METHODS: Fifty patients (54 eyes) who received surgical correction of lower eyelid retraction by lower eyelid retractors and conjunctiva recession from the tarsal plate with autologous ear cartilage grafts from March 2002 to July 2010 were evaluated. Medical records were reviewed and clinical characteristics, surgical outcomes, and postoperative complications were analyzed retrospectively. RESULTS: The use of prosthesis due to anophthalmos or microphthalmos (22 eyes) was the most common cause of lower eyelid retraction. The mean postoperative follow-up period was 16.6 months (1-98 months). Lower eyelid retraction was successfully corrected in 52 of 54 eyes. Postoperatively, 2 cases of corneal erosions, 1 case of conjunctival erosion, and 2 pyogenic granulomas developed. Corneal and conjunctival erosions resolved with conservative management and granulation tissues were removed by excision. CONCLUSIONS: Correction of lower eyelid retraction using autologous ear cartilage graft is an excellent surgical procedure with low complication rates for eyelid retraction of various etiologies.

Key Words: Ear cartilage;Lower eyelid retraction;Spacer