Use of the tarSys® for posterior lamellar grafting for lower eyelid malposition

Background: Lower eyelid malposition is a common clinical finding encountered by the oculoplastic surgeon. We examine the short-termresults with the use of the tarSys spacer graft for the correction of lower eyelid malposition. Methods: A retrospective chart review of one surgeon's outcomes with use of tarSys spacer graft for lower eyelid malposition was conducted. Results: Preoperative margin-to-reflex distance 2 (MRD2) ranged from 8 to 15 mm with a mean of 9.5 mm (±2.4 mm) and median 8.25 mm. Mean postoperative MRD2 was 6.2 (±3.4 mm) ranging from 4 to 17 mm with a median of 5.0 mm. Improvement in MRD2 averaged 3.33 (±2.07 mm), range -2 to 6 mm, and a median of 3.25 mm. Preoperative lagophthalmos ranged from 0 to 10 mm with mean 3.9 (±3.6 mm) and a median of 3.0 mm. Mean postoperative lagophthalmos was 1.3 (±1.5 mm) ranging from 0 to 4 mm with a median of 0.7 mm. Improvement in lagophthalmos averaged 2.5 (±2.7 mm). Conclusions: The tarSys spacer graft should be thought of as a dependable allogenic implant for posterior lamellar support when correcting lower eyelid malposition. © Springer-Verlag Berlin Heidelberg 2013.