Journal d'ophtalmologie clinique et expérimentale
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The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series

Nikhil Panse, Mahesh Sambhus, Parag Sahasrabudhe and Avinash Deodhar

Background: Recent literature on the use of Hughes Tarsoconjunctival flap for lower lid reconstruction is sparse.
Aim: To study the use of the Hughes Tarsoconjunctival flap for total lower lid reconstruction.
Materials and methods: We have analyzed the use of Hughes flap for the posterior lamella recreation after post malignancy defects in nine patients with certain modifications in the existing techniques. Anterior lamella was reconstructed using the cheek skin. All flaps were divided at two weeks.
Result and conclusion: All the flaps did well. There was post operative ectropion and tarsal fracture in one patient each. The Tarsoconjunctival flap is based on the principle of like for like and probably gives the best possible functional and aesthetic outcomes in lower lid reconstruction. The evolutions of the Tarsoconjunctival flap over the years with important modifications and our experience with lower lid reconstruction using this technique have been outlined.