A NEW TECHNIQUE FOR THE TREATMENT OF LACRIMAL GLAND PROLAPSE IN BLEPHAROPLASTY

The lateral temporal fullness of the upper eyelid in patients presenti ng for a blepharoplasty is sometimes due to a prolapse of the lacrimal gland. The operative procedures that attempt to reposition the migrat ed lacrimal gland have been either dangerous in that they cause a dry- eye syndrome or unsatisfactory in that they have a high rate of recurr ence or other complications. A new and different operative approach to a herniated or prolapsed lacrimal gland deals with an extraglandular concept of repositioning the gland that corresponds to the general pri nciples of hernial surgery.