Management of lower-lid retraction with hard-palate mucosa grafting

R. C. Kersten, D. R. Kulwin, S. Levartovsky, H. Tiradellis and D. T. Tse
Department of Ophthalmology, University of Cincinnati, College of Medicine, OH.

Lower eyelid retraction is frequently managed by recession of the lower-lid retractors and interposition of a "spacer graft." We have used hard-palate mucosa as our spacer material in 25 eyelids of 18 patients. A graft twice the height of the measured amount of lid retraction was used and resulted in predictable, satisfactory results. The hard-palate mucosa was easily obtained and the donor site healed well in all patients, with minimal care.

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