Fig. 2

a A 67-year-old female patient with adenocarcinoma of the meibomian of the right eye. The eyelid defect involves the entire upper eyelid. b The remaining conjunctiva and capsulopalpebral fascia (white arrow) are detached from the upper fornix. c The Hughes flap was created in the lower eyelid conjunctiva, preserving a 4-mm conjunctiva margin to maintain eyelid function, and sutured interrupted with 7–0 vicryl to form the posterior lamina (white arrow). d The upper tarsal plate is replaced with Xneo -ADM (white arrow) and is separated from the residual of the levator palpebrae superioris (LPS) muscle and the orbital septum (blue arrow). e Xneo-ADM (white arrow) is introduced between the anterior and posterior laminae. f Immediately after eyelid reconstruction