Miotti G, Quaglia D, De Marco L, Parodi PC, D’Esposito F, Musa M, Tognetto D, Gagliano C, Zeppieri M. Surgical management of patients with corneal lesions due to lid pathologies. World J Clin Cases 2025; 13(19): 101889 [DOI: 10.12998/wjcc.v13.i19.101889]
Corresponding Author of This Article
Marco Zeppieri, MD, PhD, Doctor, Department of Ophthalmology, University Hospital of Udine, p. le S. Maria della Misericordia 15, Udine 33100, Italy. markzeppieri@hotmail.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Surgical management of patients with corneal lesions due to lid pathologies
Giovanni Miotti, Davide Quaglia, Luca De Marco, Pier Camillo Parodi, Fabiana D’Esposito, Mutali Musa, Daniele Tognetto, Caterina Gagliano, Marco Zeppieri
Giovanni Miotti, Davide Quaglia, Luca De Marco, Pier Camillo Parodi, Department of Plastic Surgery, University Hospital of Udine, Udine 33100, Italy
Fabiana D’Esposito, Imperial College Ophthalmic Research Group Unit, Imperial College, London NW1 5QH, United Kingdom
Mutali Musa, Department of Optometry, University of Benin, Benin 300283, Nigeria
Daniele Tognetto, Marco Zeppieri, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste 34129, Italy
Caterina Gagliano, Department of Medicine and Surgery, University of Enna "Kore", Catania 94100, Italy
Marco Zeppieri, Department of Ophthalmology, University Hospital of Udine, Udine 33100, Italy
Co-first authors: Giovanni Miotti and Davide Quaglia.
Author contributions: Miotti G and Quaglia D wrote the outline as co-authors; Miotti G, Quaglia D and De Marco L did the research and writing of the manuscript; Miotti G, Quaglia D, De Marco L, Parodi PC, D’Esposito F, Musa M, Tognetto D, Gagliano G and Zeppieri M assisted in the writing of the draft and final paper; Miotti G, Quaglia D, De Marco L and Zeppieri M were responsible for the conception and design of the study and completed the English and scientific editing; Miotti G, Quaglia D, De Marco L, Parodi PC, D’Esposito F, Musa M, Tognetto D, Gagliano G and Zeppieri M assisted in the editing, making critical revisions of the manuscript and viewing all versions of the manuscript. All authors provided the final approval of the article.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Marco Zeppieri, MD, PhD, Doctor, Department of Ophthalmology, University Hospital of Udine, p. le S. Maria della Misericordia 15, Udine 33100, Italy. markzeppieri@hotmail.com
Received: October 16, 2024 Revised: February 17, 2025 Accepted: February 27, 2025 Published online: July 6, 2025 Processing time: 170 Days and 12 Hours
Abstract
BACKGROUND
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.
AIM
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.
METHODS
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.
RESULTS
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.
CONCLUSION
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.
