PMC3843936_01
Patient before surgery with 2 mm of sclera exposure.
cop-0004-0229-g01.jpg
PMC3843936_01_cop-0004-0229-g01.jpg
F1
However, at the last checkups, the lower eyelids had retracted again, and she presented recurrent lower keratitis caused by a scleral exposure of 1-2 mm in both eyes, in spite of a good Bell's phenomenon and an intensive treatment with lubricants (fig. 1).
Scars of previous maxillofacial surgeries.
cop-0004-0229-g02.jpg
PMC3843936_01_cop-0004-0229-g02.jpg
F2
In view of the fact that the patient had undergone surgery of the palatal area on several occasions due to her craniofacial malformations (fig. 2), we used an auricular cartilage instead of a hard palate.