Primary Repair of a Lid Defect with or Without Cantholysis
The excision of a lid lesion must be performed with total removal of the lesion as the first priority. The type of repair chosen is based on the size of the defect, in conjunction with the degree of laxity of that eyelid. Reparative techniques must be approached as a continuum of repair, using the simplest, least-complicated technique possible and progressing to larger and more complicated procedures as the situation dictates. Although the exact extent of the repair technique is not known preoperatively, it is wise to at least have a game plan in mind. Although we are primarily concerned in this chapter with surgically created defects, the same principles and techniques apply to traumatic defects.