Dr.PURBAN GANGULY

Dr. SALIL KUMAR MANDAL, Dr.Soumyadeep Majumdar, Dr.SUMAN LODH

Abstract

Purpos

To evaluate the cost, safety, surgical outcome and efficacy of cutler beard eyelid reconstruction utilizing a silicone plate for tarsal plate replacement in the repair of 70-100% eyelid defects. Methods

Prospective, non-comparative, interventional case study of thiarty patients over a period of eighteen months. Silicone plate obtain from a commercially available scleral buckle was utilized. The created defect measured in percentage Pre and post-operative measurement of margin to reflex distance (MRD1) were also noted.

Results

The follow-up period ranged from six months to two years. Pre-operative margin-to-reflex distanced (MRD1) ranged from -4 mm to -1 mm, while post-operative MRD1 was +3 to +4 mm.

Conclusions

The silicone is an inert, non-reacting, tissue tested material, thus eliminating the possibility of graft rejection.Silicone plate should be considered as a material of choice for tarsal plate replacement.