Equine eyelid reconstruction by semi-circular skin flap blepharoplasty

Abstract

Reconstructive surgeries of the equine eyelid carry significant challenges for the equine surgeon, due to the poorly mobile and tightly adhered facial skin in this species. Preservation of lid function is an essential surgical consideration in order to maintain protection of the globe and cornea and to provide ocular comfort to the case. Several reconstructive techniques have been described in textbooks, but literature on their use in clinical practice is lacking. In this report, the semi-circular skin flap, or sliding lateral blepharoplasty, was used to reconstruct the eyelid margin in two horses following mass resection. The technique was shown to be safe and practical, with a good cosmetic and functional outcome in both cases. Postoperative management was shown to be particularly important in these cases, with use of temporary tarsorrhaphy sutures and a well-fitting face mask suggested to reduce the chances of wound dehiscence.