E XCISIONS of large lid sections, which cannot be closed by simple approximation with or without cantholysis, require replacement of tissue. Various methods are in use for perfection of this goal, the details of which are not a part of this paper. Most techniques leave a lid margin void of cilia.
The cosmetic significance of lashes is obvious, so is their importance for protection, for provisions of sebaceous material, for shedding perspiration, for preventing reflections of light from smooth surfaces, and for adding firmness to the lid margin.
In earlier days, surgeons like Kuhnt1 and von Blaskovics2 used tattoeing of lid margins for the improvement of the cosmetic defect created by absent lashes. Dzondi,3 as early as 1818, attempted to insert lashes into small incisions along the lid border. Krusius4 in 1914, used a special cylindrical trephine in conjunction with application of fluid pressure from an
Beyer CK, Smith B. Cilia Transplant. Arch Ophthalmol. 1971;85(4):445-447. doi:10.1001/archopht.1971.00990050447009