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Clinical features of ocular surface disease after upper eyelid surgery Atsuko Ishimoto 1 , Kaoru Sasaki 1 , Chieko Shima 1 , Kanji Takahashi 1 1Department of Ophthalmology, Kansai Medical University pp.543-547
Published Date 2021/4/15
DOI https://doi.org/10.11477/mf.1410213969
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Abstract Purpose:We report 5 cases of ocular surface disease caused by sutures after double eyelid surgery or scars after upper eyelid surgery.

Case:The average age is 67.0±5.7 years. Four cases had a history of cosmetic burial double eyelid surgery, and 1 case had upper eyelid surgery during childhood. The findings included peripheral corneal ulcers, recurrent small white bulging lesions, superior limbitis, keratoconjunctival abrasion, and filamentous keratitis, and the average period from the primary surgery to onset was 28±13 years. All cases were referred as recurrent and refractory ocular surface disease. From examinations of the dimple of upper eye lid, the inflexibility of eyelid, and linear corneal erosion after discontinuation of a therapeutic contact lens, we suspected the presence of recurrent ocular surface diseases caused by sutures or scars of upper eye lid conjunctiva. Because of the bleeding and the transparency of the suture, it was difficult to detect the suture on the first visit, and several observations were required until the suture could be identified. All of the phenomena were resolved promptly after removal of the suture. In case 5, who had with upper eye lid surgery in her childhood, conservative treatment improved the condition of the upper eye lid conjunctiva.

Conclusion:A recurrent refractory ocular surface disease might be caused by sutures or granulomatous scars of eyelid surgery. Careful interviews, multiple observations of the upper eyelid conjunctiva, removal of therapeutic contact lenses, and removal of the suture are important influencing factors.


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