Dr. SALIL KUMAR MANDAL

, DR. ANWESHA MAITRA, Dr. JIT BHUNIA, Dr. BASUPURNA MAJUMDAR

Abstract

Purpos One of the case histories, innovation, and surgery presented as video format

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 twelve 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 one year. 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.