Successful use of preserved sclera of eyelid reconstruction.

Eyelid surgery involving resection of more than half the eyelid and formation of full-thickness defect requires not only reconstruction of the anterior lamella, but also reconstruction of the posterior lamella, including the tarsal plate and palpebral conjunctiva. However, no reconstruction methods are of complete satisfaction. We describe our successful experience with 5 cases of eyelid reconstruction using preserved sclera and a report of a typical case of them. Based on our 5 case experience and literature, we compared eyelid reconstruction using preserved sclera to reconstruction using nasal septal or auricular cartilage in terms of external appearance and functions of the eyelid. The outcomes for reconstruction using preserved sclera in all 5 of our patients have been favorable. Previous papers as to this method, even though small in number, also reported no functional and esthetic problems. This method is recommended for eyelid reconstruction due to the good results and its simplicity.