Cul-de-sac reconstruction

What is it?

It is a surgical procedure consisting of reconstructing the inner part of the eyelid (cul-de-sac). It must have a minimum depth in order to enable the following:

  • Sufficient movement of the eyeball
  • Sufficient closure of the eyelids
  • In patients with anophthalmic cavity, correct continence and sufficient ocular prosthesis

In which cases is it carried out?

  • A full ophthalmological examination and eyelid and periocular examination
  • Photos are taken to assess the patient’s condition before and after treatment

During the surgical operation

  • This treatment is carried out in the operating theatre of the out-patient’s unit
  • Tissue is normally extracted from the patient’s oral mucous membrane or palate to construct the cul-de-sac

After the operation

  • The surgeon occludes the patient’s eye for 24 hours and the patient must also take antibiotics and anti-inflammatory drugs
  • Ice must be applied to the treated area during the first few weeks
  • It is also important to have enough rest for the first few days and avoid picking up heavy objects and taking exercise
  • If oral tissue has been extracted, it is recommended that the patient has a soft diet for a few days

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