Left upper eyelid lesion
obstructing the visual axis.
Marking of the tumour for excision
Excision of the tumour.
Near total excision of the upper
Tumour sent for histology. The lid
was marked with sutures to denote the orientation. The short suture
indicate medial aspect of the lid margin and the long suture the
The other view of the excised
Lid guard coated with
chloramphenicol ointment is used to fashion full thickness flap from
the lower lid. Calipre is used to make a horizontal incision 5 mm
below the lid margin to prevent necrosis of the bridge.
Scissors were used to complete the
An inverted U-shaped is formed by
performing two vertical incisions. The different layers of the flap
were idenitified. The two pairs of forceps were holding the inferior
The flap was pulled through the
bridge to be connected to the upper eyelid.
The flap was sutured in layers
beginning with the conjunctiva.
This was followed by suturing the
levator aponeurosis to the orbicularis oculi of the lower eyelid.
Both the conjunctiva and levator
aponeurosis were now sutured to the lower flap.
The skin was sutured together at
24 hours post-reconstruction.