Everted right upper eyelid from recurrent styes (top). The everted
upper eyelid affected problem with eye closure (bottom).
Steps of reconstruction.
a. the intending rotation flap was marked;
b. a horizontal cut was made in the upper eyelid to release the contracture;
c. Dissection was done to fully release the contracture and allow the eyelid to rest in normal position;
d. the rotation flap was created;
e. the flap and the surrounding tissues were underlined to allow mobilization of the tissue without tension;
f. the flap was placed in position;
g. the site where the flap was taken was closed with 4/0 silk and the flap was sutured with 6/0 ethilon;
h. some trimmings was done to the flap to close better;
i. at the end of the operation and
j. the temporal side of the eyelid was closed using 4/0 silk (tarsorrhapy) to immobilize the flap so that it may heal faster.