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    Single-layered closure successful in lower eyelid reconstruction

    A single-layered closure technique may work as well as a double-layered closure technique in lower eyelid reconstruction, a new study suggested.        

    The approach could shorten operation time and reduce costs, wrote Jennifer S.N. Verhoekx, MD, PhD, and colleagues at the Rotterdam Eye Hospital in Rotterdam, The Netherlands. In addition, a grey line suture was rarely required to adjust the eyelid margin for either double- or single-layered closure, they found.

    They published their findings in Acta Ophthalmologica.

    When possible, clinicians usually treat small eyelid lesions with full-thickness pentagonal excision, followed by primary closure of the defect, Dr. Verhoekx and colleagues wrote.

    More from this author: New study finds limits of keratometry in keratoconus

    Usually surgeons employ a double-layered technique, closing the posterior lamella with absorbable sutures through the tarsal plate, and several authors advise a grey line suture, according to the researchers.

    However, the researchers wanted to see if they could simplify the surgery. They retrospectively analyzed clinical data on 188 lower eyelids of 186 patients treated for a full-thickness lower eyelid defect between 2011 and 2014.

    Of these, 82 eyelids had single-layer closure, and 106 had double-layered closure. No significant differences existed between the groups in age, sex, or clinical diagnoses.

    The researchers saw all the patients postoperatively at 2 months. They excluded those who had re-excision with further reconstructive surgery within 2 months.

     The procedures

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