Central corneal dellen: A complication of upper eyelid tarsotomy

Keung Kwok Sek Keung Kwok, D. T. Tse

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To report a rare complication of central corneal dellen that developed after a tarsotomy procedure to correct cicatricial entropion. Method: Central corneal dellen developed in a 60-year-old woman 3 months after a tarsotomy procedure for correction of cicatricial upper eyelid entropion. Eversion of the upper eyelid showed a retracted and buckled tarsal plate and the presence of a 5 × 10-mm depression between the edge of the tarsoconjunctival flap and lower tarsal bridge. Results: The recalcitrant corneal defect was reversed when the upper eyelid tarsoconjunctival surface contour was restored by full-thickness tarsal incisions designed to flatten the dome-shaped tarsal plate. Conclusion: An upper eyelid defect producing suboptimal lid - globe apposition during lid closure can lead to dellen formation because of focal corneal dehydration as the result of an altered tear meniscus.

Original languageEnglish (US)
Pages (from-to)237-240
Number of pages4
JournalOphthalmic plastic and reconstructive surgery
Volume16
Issue number3
StatePublished - Dec 1 2000

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ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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