Management of Upper Eyelid Coloboma with Three Steps Technique Surgery

ABSTRACT: The aims of this case report is to report the result of upper eyelid coloboma repair with three steps surgery. A 5-month-old baby with upper eyelid defect in the left eye since she was born. There were tearing and discharge in the left eye. Examination on the left eye revealed coloboma at 1/3 medial upper eyelid, symblepharon and pseudopterygium. In this case we performed three steps surgery. First step was releasing tissue as close as possible, second step was performing fullthickness graft from upper eyelid of the fellow eye and third step was Z-plasty performing at the superior medial canthal. Follow up was done for 3 months after surgery with a good result. In a small baby with 1/3 upper eyelid defect although graft was already done to repair the coloboma, Z-plasty technique still needed to elongate the tissue and close the defect.
Key word: upper eyelid coloboma, full-thickness graft eyelid, Z-plasty surgery
Penulis: Sutjipto, Balgis Desy, Rowena Ghazali Hoesin
Kode Jurnal: jpkedokterandd090004

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