Reconstruction of Large Upper Eyelid Defect with Two Composite Lid Margin Grafts

PURPOSE: To evaluate the results of reconstruction of large defects in the upper lid using two composite contra-lateral eyelid margin grafts. METHODS: This is an interventional case series in which a large full thickness defect of the upper lid was reconstructed in 7 patients using two composite eyelid margin grafts and myocutaneous advancement. The grafts were taken from both eyelids of the contra lateral eye and the final outcome was evaluated. RESULTS: Cosmetic results were achieved in both donor and recipient eyes satisfying to all patients; no graft sloughing was seen. Transient edema, punctate epithelial erosions, lid notching, madarosis and ptosis were seen in the early postoperative period. CONCLUSION: Reconstruction of a large defect in the upper lid with two composite eyelid-margin grafts is an easy, safe, effective technique with minimal complications.