Upper eyelid full-thickness eyelid defect with 30-60% of horizontal tissue loss is reconstructed by primary closure as described above after release and advancement of lateral tissue by lateral canthotomy
followed by cantholysis.
If significant horizontal laxity was present (identified with an eyelid distraction test, snap back test, or both preoperatively), a lateral canthotomy
and inferior cantholysis were performed before securing the tarsoconjunctival flap to the posterior lamella.
The patient was also found to have an elevated ocular pressure, so she agreed to canthotomy
and cantholysis to lower it.
Clinical examination revealed proptosis which was surgically managed by lateral canthotomy
followed by temporary tarsorrhaphy.
and inferior cantholysis: an effective method of urgent orbital decompression for sight threatening acute retrobulbar haemorrhage.
Floor fractures can be approached through a transconjunctival incision (inferior fornix) with a lateral canthotomy
extension for wider exposure, an infraciliary skin/muscle blepharoplasty route, or a skin incision directly over the inferior orbital rim.
is performed and the eyelid and flap is advanced to directly close the defect (8,9).
Later in the day her visual acuity had deteriorated to 2/21 and an urgent lateral canthotomy
and cantholysis was performed.
On the left side, a lateral canthotomy
lengthened the palpebral fissure, and the conjunctival diverticulum was removed.
A Lateral canthotomy
was performed for improving exposure of eyeball (Fig.
We describe its management with emergency lateral canthotomy
was done and eye ball was fixed with 6-0 black silk (d) (Ethicon) with a bite on tenon's capsule.