Surgical treatment of upper eyelid coloboma: our experience.
OBJECTIVE
The purpose of this paper is to evaluate the results obtained in the surgical treatment of upper eyelid coloboma with methods that do not involve a prolonged occlusion of the eye.


METHODS
We treated five patients aged between 7 months and 21 years; the surgical techniques adopted were the direct closure (2 patients), the full-thickness graft from the contralateral upper eyelid (2 patients) and the nasal chondromucosal flap (1 patient).


RESULTS
The results were good in all patients with vitality of all grafts and flaps; also absent were hematomas, seromas and infections. None of the patients developed amblyopia and lagophthalmos.


CONCLUSIONS
The use of these methods prevents the development of some complications, such as amblyopia, occurring with the use of other techniques, as shown in the literature. In addition, allowing the reconstruction with similar tissues or very flexible and thin tissues provides greater functionality to the new eyelid.


CONCLUSIONS
When possible, early intervention with the use of the described techniques will provide good results in the short and long term, allowing to avoid minimal complications which may arise from a prolonged occlusion of one eye.
University of Perugia, Perugia, Italy.
Stefano
S
Chiummariello
Matteo
M
Angelisanti
Sergio
S
Arleo
Carmine
C
Alfano
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003103:Coloboma / Q000601:surgery*; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D055815:Young Adult