1. The treatment of atretic blepharopharosis should consider the patient's age, eye condition and general condition.
(1) Elderly patients generally do not consider plastic surgery first. They should first understand whether their cardiac, vascular and systemic conditions can tolerate long-term plastic surgery purely to improve appearance.
(2) For young patients with unilateral atretic blepharopharosis, total conjunctival sac reconstruction is to allow the insertion of prosthetic eye sheets to achieve a symmetrical appearance and the ability to move the eyeball in all directions.
(3) Young patients with bilateral atretic blepharopharosis should actively create opportunities as long as they still have light perception, regardless of whether the light perception is accurately positioned or not.
2. Different surgical methods should be used according to the degree of blepharopharosis
(1) For some blepharopharosis caused by cord-shaped scars, "Z" can be used "Plasty to eliminate adhesions.
(2) Extensive blepharopharosis should be corrected first to deepen the fornix. In most cases, lip mucosal transplantation is required to repair. After the blepharopharosis disappears, the eyelid margin and eyelid defects can be corrected as appropriate.
(3) Total blepharopharosis After severe burns, the scarred connective tissue peeled off from the eyeball can only be loosened by multiple cuts perpendicular to the direction of the scar. Instead of total removal, retain them as tarsal substitutes.