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Advances in Oculoplastic Surgery: From Eyelid Reconstruction to Innovative Techniques

A special issue of Journal of Clinical Medicine (ISSN 2077-0383).

Deadline for manuscript submissions: 25 October 2026 | Viewed by 1147

Editor


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Guest Editor
2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, GR-56429 Thessaloniki, Greece
Interests: corneal transplantations; anterior segment surgery; cataract surgery; intraoperative floppy iris syndrome; oculoplastic surgery; cornea; eyelid
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Oculoplastic surgery has evolved significantly over recent decades, integrating advances in reconstructive techniques, biomaterials, and aesthetic principles to improve both functional outcomes and patient satisfaction. From complex eyelid reconstruction following trauma or tumor excision to the adoption of minimally invasive procedures and novel technologies, these contributions showcase the breadth of innovation in oculoplastics. This Special Issue brings together original research and clinical reviews that highlight the expanding frontiers of the field, from functional and aesthetic eyelid reconstruction to novel minimally invasive and image-guided approaches. Particular emphasis is placed on techniques that enhance patient outcomes, reduce recovery time, and address complex pathologies with precision. I strongly believe this collection will serve as a valuable resource for clinicians, researchers, and trainees seeking to stay at the forefront of oculoplastic surgery and that it will inspire further innovation and excellence in clinical practice.

You may choose our Joint Special Issue in JCTO.

Dr. Argyrios Tzamalis
Guest Editor

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Keywords

  • oculoplastic surgery
  • eyelid reconstruction
  • orbital surgery
  • novel minimally invasive
  • image guided

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Published Papers (1 paper)

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Research

11 pages, 2605 KB  
Article
A Novel Technique for Reconstruction of the Canthal Ligaments of the Lower Eyelid Using Barbed Sutures
by Yutaro Araki, Kazuki Shimada, Miki Fujii, Takako Komiya and Hajime Matsumura
J. Clin. Med. 2026, 15(9), 3510; https://doi.org/10.3390/jcm15093510 - 4 May 2026
Viewed by 562
Abstract
Background/Objectives: Lower eyelid malposition is a recognized complication following eyelid tumor excision, trauma, or degenerative changes, and is frequently associated with laxity or disruption of the canthal ligaments. Conventional reconstruction techniques using autologous grafts such as fascia lata or auricular cartilage are [...] Read more.
Background/Objectives: Lower eyelid malposition is a recognized complication following eyelid tumor excision, trauma, or degenerative changes, and is frequently associated with laxity or disruption of the canthal ligaments. Conventional reconstruction techniques using autologous grafts such as fascia lata or auricular cartilage are effective but are associated with donor-site morbidity and increased surgical complexity. This study aimed to evaluate the feasibility and early outcomes of a novel technique for reconstruction and reinforcement of the lower eyelid canthal ligaments using a barbed suture system. Methods: A single-institution retrospective case series was conducted, including consecutive patients who required lower eyelid canthal ligament reconstruction or horizontal support reinforcement from April 2025 to November 2025. Margin reflex distance 2 (MRD-2) was measured from standardized photographs preoperatively and at final follow-up. Munk scale scores, surgically induced astigmatism (SIA), and postoperative complications were recorded. Results: Seven patients (median age 72 years; range 38–86) underwent the procedure. Indications included post-oncological eyelid reconstruction (n = 2), cicatricial ectropion (n = 2), paralytic ectropion (n = 1), involutional ectropion (n = 1), and cicatricial entropion (n = 1). The median follow-up was 189 days (range 105–280). MRD-2 at final follow-up was 5.4 mm in Case 1 (preoperative: 5.7 mm) and 4.1 mm in Case 2 (preoperative: 4.2 mm), indicating maintained eyelid position. Munk scale scores improved in four of five evaluated patients. No recurrence of ectropion or entropion was observed during follow-up. Transient linear skin indentation along the suture pathway was observed in all cases and resolved spontaneously in all patients by 3 months postoperatively. One patient experienced transient postoperative diplopia that resolved with conservative management. Conclusions: This study demonstrates the feasibility of lower eyelid canthal ligament reconstruction using a barbed suture system in a heterogeneous cohort of seven patients. Short-term results are encouraging, with maintained eyelid position and no recurrence of malposition observed during the follow-up period. These preliminary findings warrant further evaluation in larger, prospective, controlled studies with longer follow-up. Full article
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