Abstract
The Hughes tarsoconjunctival flap provides a means of reconstructing posterior lamellar defects of the lower eyelid. This lid sharing procedure allows reconstruction of lower eyelid margin defects encompassing as much as 90 % of the eyelid. The tarsoconjunctival flap entails advancing a flap of upper eyelid conjunctiva and tarsus down to the lower eyelid. The rectangular flap is sized according to the size of the defect. A portion of the upper lid tarsal plate and conjunctiva (approximately 4 mm in height) is left intact to maintain upper eyelid stability.
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