title: A profile of eye-lid conditions requiring reconstruction among the patients attending an oculoplasty clinic in mid-western region of Nepal.
abstract: BACKGROUND
  Some eyelid defects require reconstruction.
  
  
  OBJECTIVE
  To study the eyelid conditions requiring reconstruction among the patients attending an oculoplasty clinic of a tertiary level eye institute.
  
  
  METHODS
  All the cases of eyelid reconstruction surgery of two years were retrospectively included in this study. The parameters studied were causes of eyelid defects, age and gender of the patients and the reconstructive surgical procedures.
  
  
  RESULTS
  Of 43 cases that required eyelid reconstructive surgery 17 (39.53 %) had ocular tumors and 16 (37.2%) had trauma. The mean age of presentation was 42 years ± 13.89 (4- 84 years. Of the eyelid tumors, benign lesions were found in 7 (41.1%) followed by basal cell carcinoma in 5 (29%). The surgical procedures carried out were direct closure of defects in 15 (35%), excision of cicatrized tissue with skin graft in 7 (16%), reconstruction with rotational flap in 6 (14%), blepharoplasty in 4 (9%), gold weight in 4 (9%), lid sharing procedure (Cutler-Beard procedure) in 3(7%), lateral tarsorraphy in 2 (5%) and canalicular repair with silastic tube intubation in 2 (5%).
  
  
  CONCLUSIONS
  Ocular tumors are the most frequent conditions requiring eyelid reconstructive surgery. The common reconstructive procedures are direct closure followed by excision of cicatrized tissue with skin graft.
authors.affiliation: Lumbini Eye Institute, Bhairahawa, Nepal. pragatigautam@hotmail.com
authors.forename: P
authors.initials: P
authors.lastname: Gautam
authors.forename: R K
authors.initials: RK
authors.lastname: Adhikari
authors.forename: B R
authors.initials: BR
authors.lastname: Sharma
mesh_terms: D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D005141:Eyelid Diseases / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D005143:Eyelids / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009390:Nepal / Q000453:epidemiology; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013524:Surgical Flaps; D016896:Treatment Outcome