Longevity results of modified Hughes procedure in reconstructing large lower eyelid defects

Adel Galal Zaky, Hesham Mohamed Fouad Elmazar, Mohamed Samy Abd Elaziz Ophthalmology Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt Purpose: The purpose of this study was to evaluate the longevity results of modified Hughes procedure in reconstructing large lower eyelid defects. Background: The modified Hughes procedure was used to reconstruct large full-thickness lower eyelid defects. Meanwhile, the functional results indicated that ocular surface health in the treated eyes may be affected. Patients and methods: Noncomparative, case series retrospective study was designed after obtaining the approval of the institutional review board at the Ophthalmology Department, Menoufia University, Egypt, where the results of cases who underwent surgery with the modified Hughes procedure during a 7-year interval were evaluated. Results: Eleven patients (seven males and four females) in the age range 59–77 years (mean age 67±5 years) were identified. The follow-up ranged from 12 months to 48 months. Cosmetic, functional, and postoperative results were analyzed. Conclusion: Despite the favorable cosmetic results of the Hughes tarsoconjunctival flap, the procedure has its own limitations. The results indicated that it does affect the functions and tear film stability in the treated eyes. Keywords: modified Hughes procedure, lower eyelid reconstruction, tarsoconjunctival fla