[Surgical treatment of postburn cicatricial inversions of the lower eyelids with involvement of the lid edge and conjunctival ectopia]. / Khirurgicheskoe lechenie posleozhogovykh rubtsovykh vyvorotov nizhnikh vek s povrezdeniem ikh rebra i éktopiei kon"iunktyvy.

ABSTRACT

Examinations of 30 patients with postburn cicatricial inversions of the lower lids have revealed involvement of the median half of the tarsus and ciliary edge in approximately 1/5 of them. Conjunctival growth and creeping of the conjunctiva on the edge and outward surface of the eyelid, manifesting as a red spot, are observed at the site of this involvement, where no eyelashes grow. The treatment of 6 patients with such condition has led the authors to a conclusion that ectopic conjunctiva is subject to tangential resection with plasty of the eyelid, its tarsus and ciliary edge, released from the cicatrices, with a single graft of split skin. The technique of surgery is described.