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To the Editor.
—Irritation of the cornea may occur immediately following the repair of full-thickness eyelid lacerations or eyelid resections for tumors, scars, and horizontal eyelid laxity. Slit-lamp examination often reveals superficial punctate keratopathy or a localized erosion in the upper portion of the cornea. The undersurface of the eyelid should be inspected for eyelashes, sutures, and foreign bodies, but this may be difficult because of edema, pain, and increased eyelid tension. An injection with local anesthetic decreases the pain associated with eyelid manipulation, but eversion may still be difficult if the eyelid is tight.Over the past three years, I have used a standard dental mirror to examine five patients with corneal irritation following upper eyelid surgery. Four patients had had full-thickness eyelid resections, three for tumors and one for a vertical scar band and eyelid notch following a full-thickness laceration. The fifth had sustained a large, full-thickness eyelid
Weinstein GS. Use of a Dental Mirror for Postoperative Eyelid Examination. Arch Ophthalmol. 1987;105(6):747. doi:10.1001/archopht.1987.01060060025016