Modified reverse Hughes technique for upper eyelid reconstruction – Case report

Patients with scarring in the eyelids present a significant surgical challenge, particularly when the scarring results from severe trauma. This case report describes a young female patient with a history of keloid formation who sustained an upper eyelid trauma, resulting in extensive tissue avulsion and damage to the upper canaliculus. An upper eyelid reconstruction was undertaken using the tarsoconjunctival flap advancement procedure (modified reverse Hughes) for both the lower and upper eyelids to reconstruct the defect. This reconstruction facilitated anatomic and functional recovery, including eyelid opening and closing, and appearance.