J Cosmet Med 2020; 4(2): 85-88  https://doi.org/10.25056/JCM.2020.4.2.85
Modified versus conventional Tenzel semicircular flap in congenital bilateral upper eyelid coloboma occurring as an isolated finding: a case series
Shanti Fitrianti Boesoirie, MD, PhD1, M Rinaldi Dahlan, MD, PhD1, Angga Kartiwa, MD, PhD1, Niluh Putu Ayu, MD1, Woong Chul Choi, MD2
1Department of Ophthalmology, Cicendo Eye Hospital, Padjadjaran University, Bandung, Indonesia, 2Myoung Eye Clinic, Seoul, Rep. of Korea
Shanti Fitrianti Boesoirie
E-mail: boesoirie.sf@gmail.com
Received: March 31, 2020; Revised: May 26, 2020; Accepted: September 14, 2020; Published online: December 31, 2020.
© Korean Society of Korean Cosmetic Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Congenital eyelid coloboma is a full- or partial-thickness defect of the eyelids caused by failure of fusion of the embryonic fissure during embryological development. The aim of this study is to provide information regarding the modified reverse Tenzel semicircular flap procedure in the management of bilateral upper eyelid coloboma. The conventional Tenzel semicircular flap stabilizes the eyelid margins and ensures adequate eye opening and closing functions. However, a modified Tenzel semicircular flap provides enhanced cosmetic results.
Keywords: eyelid coloboma; Tenzel semicircular flap
  1. Pagon RA. Ocular coloboma. Surv Ophthalmol 1981;25:22336.
  2. Smith HB, Verity DH, Collin JR. The incidence, embryology, and oculofacial abnormalities associated with eyelid colobomas. Eye (Lond) 2015;29:492-8.
    Pubmed KoreaMed CrossRef
  3. Khalid M, Moin M, Latif MA. Reconstruction of congenital lid defects. Pak J Ophthalmol 2013;29:231-4.
  4. Lodhi AA, Junejo SA, Khanzada MA, Sahaf IA, Siddique ZK. Surgical outcome of 21 patients with congenital upper eyelid coloboma. Int J Ophthalmol 2010;3:69-72.
  5. Collin JRO. A manual of systematic eyelid surgery. 3rd ed. Oxford: Elsevier Butterworth-Heinemann; 2006. p. 123.
  6. Tenzel RR, Stewart WB. Eyelid reconstruction by the semicircle flap technique. Ophthalmology 1978;85:1164-9.
  7. Seah LL, Choo CT, Fong KS. Congenital upper lid colobomas:management and visual outcome. Ophthalmic Plast Reconstr Surg 2002;18:190-5.
    Pubmed CrossRef
  8. Tawfik HA, Abdulhafez MH, Fouad YA. Congenital upper eyelid coloboma: embryologic, nomenclatorial, nosologic, etiologic, pathogenetic, epidemiologic, clinical, and management perspectives. Ophthalmic Plast Reconstr Surg 2015;31:112.
    Pubmed KoreaMed CrossRef
  9. Ankola PA, Abdel-Azim H. Congenital bilateral upper eyelid coloboma. J Perinatol 2003;23:166-7.
    Pubmed CrossRef
  10. [Upper eyelid coloboma treatment with the Cutler-Beard technique and its association with amblyopia: case report]. Arq Bras Oftalmol 2002;65:579-84. Portuguese.

This Article

Cited By Articles
  • CrossRef (0)

Author ORCID Information

Social Network Service