Published online Jul 6, 2025. doi: 10.12998/wjcc.v13.i19.101889
Revised: February 17, 2025
Accepted: February 27, 2025
Published online: July 6, 2025
Processing time: 170 Days and 12 Hours
The surgical management of corneal lesions resulting from eyelid pathologies requires a comprehensive approach to ensure optimal patient outcomes. Eyelid lesions, ranging from benign to malignant, can lead to corneal damage through mechanisms such as mechanical abrasion, secondary infection, or inflammatory responses.
To assess the surgical methodologies utilized in the treatment of corneal lesions resulting from eyelid disorders and evaluate their effects on patient outcomes, recurrence rates, and postoperative complications. The incorporation of advanced imaging techniques, including optical coherence tomography and ultrasound biomicroscopy, in conjunction with histopathological analysis, is addressed to improve surgical accuracy and patient outcomes.
The authors searched online databases (PubMed and Cochrane) for publications on the surgical management of lid lesions. Records received from the two databases were checked for duplicates and relevance. Only records with full texts and in English language were included.
A total of 28 records were obtained following the screening for relevancy and duplication. The review underscores essential surgical approaches employed in the treatment of corneal lesions resulting from common eyelid diseases, focusing on operative efficacy, complication rates, and long-term results.
This systematic review emphasizes the significance of choosing suitable surgical techniques tailored to individual patient characteristics and stresses the need for interdisciplinary collaboration in ophthalmic care. The results indicate that sophisticated imaging techniques and careful preoperative preparation markedly improve surgical accuracy and long-term results.
Core Tip: Eyelid disorders can lead to significant corneal damage, necessitating precise surgical intervention. This systematic review evaluates surgical approaches for correcting entropion, ectropion, and other conditions affecting the ocular surface. The findings highlight the critical role of interdisciplinary collaboration, advanced preoperative imaging, and individualized surgical strategies in optimizing outcomes and minimizing recurrence.