title: Lower Eyelid Retraction Repair with Resorbable Polydioxanone Implants.
abstract: OBJECTIVE
  To report a unique technique to repair lower eyelid retraction using resorbable polydioxanone implants.
  
  
  METHODS
  This was a retrospective, consecutive, nonrandomized interventional case series. Patients with lower eyelid retraction after trauma repaired facial fracture, thyroid eye disease, lower eyelid blepharoplasty, and long-standing facial palsy were treated with middle lamellar spacer using absorbable polydioxanone implant. All patients were recruited from the King Abdulaziz University Hospital, Riyadh, Saudi Arabia. Only patients with minimum follow-up of 12 months were included in the study.
  
  
  RESULTS
  Eight patients (4 males and 4 females) underwent lower eyelid retraction repair using absorbable polydioxanone implant. The mean age was 43 years (range, 23-63 years). All patients noted improved ocular surface symptoms. The improvement in eyelid retraction ranged from 1.5 to 4 mm with an average of 2.7 mm postoperatively. The implant was well tolerated with no major complications.
  
  
  CONCLUSIONS
  Several options for spacer materials are available. Absorbable polydioxanone implants seem to be an effective middle lamellar spacer that is a good alternative for repairing middle lamella related lower eyelid retraction and lower eyelid support.
authors.affiliation: Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Adel H
authors.initials: AH
authors.lastname: Alsuhaibani
authors.affiliation: Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Yasser H
authors.initials: YH
authors.lastname: Al-Faky
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016687:Polydioxanone; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D016687:Polydioxanone
keywords: Eyelid; polydioxanone; retraction; spacer