Dermis-Fat Graft for Correction of Recurrent Severe Upper Eyelid Retraction in Graves’ Orbitopathy

• Main Authors: Biljana Kuzmanović Elabjer, Daliborka Miletić, Mladen Bušić, Ana Bišćan Tvrdi, Damir Bosnar, Mirjana Bjeloš
• Format: Article
• Language: English
• Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2018-01-01
• Series: Acta Clinica Croatica
• Subjects: Graves ophthalmopathy – surgery; Eyelids – surgery; Reconstructive surgical procedures – methods; Skin transplantation; Autografts; Dermis-fat graft
• Online Access: http://hrcak.srce.hr/file/297703

Dermis-fat graft has been proven as a useful replacement tissue for eyelid and orbit reconstruction, but there is no evidence in the literature that it can be used for correction of upper eyelid retraction. This is the first report that presents two cases (four eyelids) of dermis-fat graft usage as a spacer in the treatment of severe recurrent upper eyelid retraction due to Graves’ orbitopathy. Improvement was achieved with minimum complications, patient symptoms were reduced, and the results were stable almost three years after the procedure.