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Fig. 1 | BMC Ophthalmology

Fig. 1

From: Clinical observation on healing of tarsal plate defect after reconstruction with xenogeneic acellular dermal matrix

Fig. 1

a A patient with basal cell carcinoma of the left eye, male, 57 years of age. b Skin marking of the margin beyond 3–4 mm around the mass. c The upper and lower lids and the temporal periosteum of the affected eye have tumor involvement. The eyelid defect (red arrow) is approximately 2/3. It is planned to use x-ADM (blue arrow) is pfor eyelid reconstruction. d The remaining conjunctiva and capsulopalpebral fascia (blue arrow) are detached from the upper and lower fornix. e Interrupted sutures are performed using 7–0 vicryl absorbable sutures to form the posterior lamina (blue arrow). f The conjunctiva of the upper and lower eyelid fornix is separated and sutured in the opposite position. Anatomical reduction of the eyelid plate (blue arrow) was replaced by x-ADM. The temporal periosteum was wrapped with x-ADM (white arrow). g The anterior lamina is made of local advancement skin flap, and eyelid margin adhesion is required. h Six months after eyelid reconstruction. i Eyelid margin incision is performed 6 months after eyelid reconstruction, and the graft is pink (blue arrow), which is integrated with the surrounding tissues. j The eyelids are well-shaped and open and close normally 6 months postoperatively

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