Dr. NEELAM PUSHKER

DR. VINIT TANWAR, Dr.SAHIL AGRAWAL, Dr. RACHNA MEEL

Abstract

Objective:Cicatricial ectropion (CE) mostly requires skin grafting. We aim to study Autologous Fat Graft (AFG) for correction of CE of lower lid. To the best of our knowledge, a similar study is not available.

Methods:This was a prospective, interventional pilot study that included 5 patients with CE (grade I-III). Fat was harvested from abdomen using Coleman liposuction method and injected in cicatricial lid. Patients were assessed for anatomical, functional and aesthetic outcomes.

Results:At 6-months, all patients had improvement in grade of ectropion, vertical palpebral aperture, eyelid retraction, and almost complete resolution of lagophthalmos. There was a significant improvement in scar color, thickness and consistency on Visual Analogue Score with no donor site complications. Surgery was avoided in 4 out of 5 patients.

Conclusion:AFG transfer for CE not only eludes need for invasive surgery but provides satisfactory correction with stable outcome and an improved texture of scar.

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