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Acta clinica Croatica, Vol. 57. No. 1., 2018.

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https://doi.org/10.20471/acc.2018.57.01.23

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

Biljana Kuzmanović Elabjer ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia
Daliborka Miletić ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia
Mladen Bušić ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia
Ana Bišćan Tvrdi ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia
Damir Bosnar ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia
Mirjana Bjeloš ; University Eye Department, Faculty of Dental Medicine and Health Care Osijek, Faculty of Medicine Osijek, Josip Juraj Strossmayer University in Osijek, Sveti Duh University Hospital, Zagreb, Croatia

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Abstract

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.

Keywords

Graves ophthalmopathy – surgery; Eyelids – surgery; Reconstructive surgical procedures – methods; Skin transplantation; Autografts; Dermis-fat graft

Hrčak ID:

202234

URI

https://hrcak.srce.hr/202234

Publication date:

1.3.2018.

Article data in other languages: croatian

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