Hughes flap (tarsal-conjunctival flap) from lamellar repair Watch Video
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Description: This is Richard Allen at the University of Iowa. This video demonstrates the use of a tarsoconjunctival or Hughes flap to repair a lower eyelid defect.As is noted, the defect is full-thickness and involves approximately 75% of the width of the lower eyelid.The defect is measured with calipers.A subciliary incision is then made extending from the lateral edge of the defect to the lateral canthus.Dissection is then performed between the orbicularis muscle and the orbital septum to the infe