Grey line of eyelid. [2] Restoration of the upper .

Grey line of eyelid Use the uppermost suture to tie down the long end of the grey line suture. Abstract Background: This study aimed to evaluate the clinical efficacy of the 2-step procedure used for treating entropion patients: (1) performing a grey line split incision and recessing the anterior lamella; (2) using full-thickness everting sutures of the eyelid to enhance the rotating effect. Jan 10, 2025 · A chalazion is a swollen, pain-free lump on the eyelid. May 26, 2023 · Entropion is an inversion of the eyelid margin, wherein the margin is abnormally rotated towards the globe. It gradually forms when the meibomian gland, a sebaceous (oil) gland, is blocked. 4b). The gray line serves as an @anastasia_lashexpert provides us with this beautiful cat eye lash map! 🔥 You can recreate this look with our Chelsea, Mayfair, Easy Fanning or Pre-made lashes! #cateyelashmap #cateye Normal appearance of posterior lid margin and lid margin keratinization (LMK). It is the plane along which the lid can be spilt into two halves. 2018; 66 :273–7. Join the American Academy of Ophthalmology and enjoy these exclusive benefits:. Upper eyelid levator-recession and anterior lamella repositioning through the grey-line: Avoiding a skin-crease incision. The MGs with orifices located just behind the gray line reside within the tarsal plate (Figure 2). Lid margin splitting was performed along the grey line on the medial third or half of the lower eyelid by making a 1 mm-deep incision. Orbital septum The orbital septum attaches to the bony orbital margin at the arcus marginalis and to the inferior tarsus. Article Google Scholar Download scientific diagram | Incision along the length of the upper eyelid margin through the grey line to a depth of at least 2 mm, stopping short of the punctum. 15 Bard-Parker blade from the lateral commissure to a point just lateral to the lacrimal punctum . Outcomes of lower eyelid cicatricial entropion with grey-line split, retractor recession, lateral-horn lysis, and anterior lamella repositioning. A single knot is made, and the cut ends are brought in apposition. The gray line is important as the lid is split at this level. Blepharitis causes inflammation of the Repair eyelid lacerations involving superficial skin with 6-0 nonabsorbable interrupted sutures, which should remain in place for 3 to 5 days. May 25, 2024 · This muscle segment appears as a distinct colored line along the length of the upper and lower eyelid margins. the grey line and superior lid crease as described by others, the dissection was performed only through the upper lid crease incision and down to the lid margin as the lid margin is usually distorted in UCE with no identifiable grey line [3] – [4], [7] – [9], [13] – [17]. Eyelashes of Eyelids : Arranged in 2-3 rows: Upper lid lashes (100-150) curve upward, lower lid lashes (50-75) curve downward to avoid interlocking when closed. Aug 28, 2021 · Fibers from orbicularis oculi muscle adjacent to the tarsal plate are referred to as Riolan muscle, which manifests as the gray line of the eyelid margin. Functional anatomy of the lid can be simplified by dividing lid into two parts along gray line. Congenital colobomas and necrosis or cicatricial contraction following periocular infections, radiation, cryotherapy, or thermal burns also may cause eyelid defects. If one were to look closely, they lie behind a grey line on the margin of the eyelid. The gray line is often confused with the mucocutaneous junction of the eyelid margin, which is actually located posterior to the meibomian gland orifices along the eyelid margin. The separation between these two lamellae is visible at the gray-line level between the eyelashes and the orifice of the excretory channels of the Meibomius glands. Nov 21, 2016 · Diagnose This: 25-year-old man who injects drugs has lesions on his left eyelids Diagnose This Ice Test and Fatigability Testing in Ocular Myasthenia Gravis Basic Skills Video Diagnose This: 75-year-old farmer with chronic epiphora Diagnose This Jul 11, 2016 · The gray line is also referred to as the muscle of Riolan and represents the pretarsal orbicularis muscle on the eyelid margin. Medial and Lateral Palpebral May 29, 2023 · Benign eyelid lesions are commonly found during a routine exam by the eye care provider, primary care provider, or dermatologist. We examined block resections of 51 eyelids histologically following localization of the gray line. [PMC free article] [Google Scholar] Mar 11, 2021 · A 6-0 Vicryl vertical mattress suture was placed anterior to the grey line, such that the lash line was aligned and the lid margin was slightly everted. Between the skin and conjunctiva at a level 5 mm above the tarsus are, layered from front to back, the orbicularis muscle, the orbital septum, the preaponeurotic fat pockets, the levator aponeurosis, and Muller's supratarsal muscle. Line up the bolster in the middle of the upper lid and pass the same needle into the upper eyelid skin 3–4 mm above the lid margin, through the tarsal plate and out of the grey line of the lid margin. GREY LINE SPLIT FOR UPPER LID ENTROPION IN OCULAR CICATRICIAL PEMPHIGOID MARK J. This content is available only to Academy members. to the lash line on the eyelid margin is the easily noticeable line of meibomian glands, which emanate from the edge of the tarsus. Ophthalmic Plast Reconstr Surg. Be­ tween the lash line and the meibomian line lies a faint gray line, which is more pronounced in younger individuals. The eyelids were then prepped in the usual sterile fashion. To the best of our knowledge, no description of any deep or superficial anatomic counterpart of the gray line has been Purpose: This study aims to report a case series of upper eyelid cicatricial margin entropion with retraction, corrected through a grey-line approach only. Dec 13, 2023 · The gray line is a faint linear zone separating these two regions. We comment on changes in gray line morphology with lid movement, and we advance a POSTERIOR BORDER of the eyelid is Sharper GREY LINE: marked in the picture below, divides the eyelid vertically into an anterior lamina and a posterior lamina . The grey line is the slightly darker line in the middle of the lid margin that is between the anterior and posterior lamellae of the lid. Comment on: Upper eyelid levator-recession and anterior lamella repositioning through the gray-line – Avoiding a skin-crease incision. Apr 1, 2014 · Then, the lateral lower eyelid pass is placed, entering below the lower eyelash line but engaging the tarsal plate and exiting at the gray line, followed by the upper eyelid pass, which enters at the gray line, engaging the tarsal plate, and exiting above the upper eyelash line. A tarsal fracture incision was created in the eyelid with a BP#15 blade. Jan 31, 2022 · First, the gray line suture is replaced by a vertical mattress through the tarsus itself, which provides superior closure and alignment. Based on the principles of lamella repositioning and posterior middle lamella release with formal retractor recession through a gray-line incision, this technique is of value as a lash-preserving procedure in moderate-to-severe cicatricial lower eyelid entropion, particularly where tarsoconjuctival … Apr 28, 2019 · The meibomian gland orifices are visible just posterior to the grey line. These outcomes were maintained up to 4 years. The anterior lamella is formed of skin and the orbicularis oculi muscle, and the posterior lamella by the tarsal plate, the retractor muscles, and the conjunctiva. (A 6-0 interrupted Vicryl suture was used to close the orbicularis. Between the skin and mucosa is a narrow “gray line” that marks the location of the ciliary bundle of the palpebral part of the orbicularis oculi muscle (the muscle of Riolan), a relatively avascular plane. First, a superior traction suture was placed by passing a 4-0 silk suture through the grey line of the left lower eyelid. These points are then joined to mark an incision line. Nov 14, 2024 · The lid may be split into anterior and posterior portions through this potential plane, which is reached by division at the gray line of the lid margin. Eye 1996; 10: 439–442. A 6. May 22, 2023 · Chemosis: +1 point if the conjunctiva lies behind the grey line of the lid, +2 if the conjunctiva extends anterior to the grey line. Many of the conditions that can cause a gray spot in the white of your eye or on your eyelid are caused by issues like Sep 8, 2018 · Close the orbicularis muscle with three 6/0 or 7/0 absorbable sutures. Mar 21, 2023 · Gray spots in your eye may be harmless, due to age or even injury. CONCLUSION: Based on the principles of lamella repositioning and posterior middle lamella release with formal retractor recession through a gray-line incision, this technique is of value as a lash-preserving procedure in moderate-to-severe cicatricial lower eyelid entropion, particularly where tarsoconjuctival contraction or eyelid margin More definitive surgical treatments include tarsotomy with eyelid margin rotation, direct tarsal excision, and lamellar eyelid division with removal of the aberrant follicles. The anterior lid margin is where the eyelashes are, and the posterior lid margin is in apposition with the globe. Results: Anatomical success was achieved in 72% of lids at 1 year and 61% had complete success with no lashes touching the globe. The MCJ surface (here 274 μm wide) first has a zone of continuous pk cells for 150 μm (B, grey line), followed by a zone of discontinuous pk interspersed among ordinary squamous (s) cells. Jan 1, 2018 · Gray line lies anterior to meibomian gland openings and . Khanani in San Francisco on November 4th at 5:30 PM PT for Advances in Neovascular Retinal Disease: A Case- Based, Data-Driven Guide to Treatment. An incision along this surgical plane divides the eye-lid into anterior and posterior lamellae. Pass May 22, 2022 · 39. This diagram demonstrates the conceptual split between the anterior lamella (skin and orbicularis, right side) and posterior lamella (tarsus and conjunctiva, left side) of the eyelid. Having made a transverse subciliary skin incision and a dissection between the tarsus and the orbicularis oculi muscle, the subcutaneous tissue of the superior edge of the incision was secured to the tarsus with Supplementary figure 1. This is also called the Marx's line and can be Oct 25, 2023 · Arcus senilis is a white, gray, or blue arc or ring that develops around the edge of the cornea. Home remedies can help hide their appearance. A second 7-0 Vicryl suture is used to approximate the anterior lash line. [2] Restoration of the upper Nov 27, 2022 · Eyelid lacerations are managed differently depending on the injury's depth, width, and location. We comment on changes in gray line morphology with lid movement, and we advance a with local anesthetic 2% lidocaine with epinephrine. This is done by employing a mattress suture. Jul 11, 2019 · The eyelid margin. Commenting on changes in gray line morphology with lid movement, and a hypothesis to explain its "gray" color is advanced, are commented on. (C) Expose lower eyelid retractors. Where a skin crease incision is performed, a stepped skin–orbicularis oculi muscle incision is made at the marked skin crease and dissection is carried out with a Westcott . 1‑2 ). Dissection was performed between the tarsus and pretarsal orbicularis oculi, using Westcott scissors, to reach the superior margin of tarsus . Histologically corresponds to most superficial portion of orbicularis oculi , muscle of Riolan , and to the avascular plane of lid May 28, 2020 · GREY LINE : Junction between skin and conjunctiva. The tarsal plate gives the eyelid firmness and shape. This junction is denoted by a visible grey line on the eyelid. ) The eyelid skin was closed with _#_ interrupted 6-0 plain gut sutures. 47%, 3 and 6 months after the operation, respectively. Next, common causes of eyelid swellings including hordeolum or stye and chalazion are discussed. Structure of Eyelid. 1. What layers are anterior to the gray line? Skin, subcutaneous areolar tissue, OO. from publication: Correction of Dec 15, 2023 · The gray line is the most important anatomic line to keep in mind in eyelid reconstructive procedures and in repair of lacerations that involve the margin of the eyelid. Surgical management is broken down into these categories: laceration without eyelid margin involvement, laceration with eyelid margin involvement, and laceration with nasolacrimal system involvement. Ocular and eyelid observations must be recorded with each eye fixating in turn, or false measurement will be obtained. Moderate lower eyelid defects Semicircular advancement or rotation flaps, which have been described for upper eyelid repair, can also be used for reconstruction of moderate defects in the lower eyelid The most commonly used flap in such cases is a modification of the Tenzel semicircular rotation flap Tarsoconjunctival autografts harvested from the underside of the upper eyelid may be Jun 3, 2018 · Eyelid Examination: Sit directly opposite the patient. The anterior lamella consists of the skin and orbicularis muscle. 2002. The ducts of the Meibomian glands open in a single row posterior to the gray line. We comment on changes in gray line morphology with lid movement, and we advance a Feb 7, 2019 · Grey line: Represents the line of demarcation between the anterior portion of the eyelid formed by the skin and orbicularis muscle (ant. The levator palpebral Feb 12, 2016 · Anterior lamellar repositioning and grey line split for upper eyelid entropion in ocular cicatricial pemphigoid. (c) Focal patch of LMK post Jan 30, 2016 · These fibers are responsible for forced closure of the eyelids. The gray line, which is the muscle of Riolan (the most superficial aspect of the orbicularis muscle), is also shown. Fig. Eyelid injuries constitute a substantial number of cases among all ophthalmological injuries. Outcomes were assessed based on the review of medical case notes and May 11, 2020 · A 4–0 silk traction suture is passed through the gray line of the upper eyelid, which is everted over a Desmarres retractor. 1). Mar 1, 2002 · Malhotra R, Yau C and Norris J (2012) Outcomes of Lower Eyelid Cicatricial Entropion With Grey-Line Split, Retractor Recession, Lateral-Horn Lysis, and Anterior Lamella Repositioning, Ophthalmic Plastic & Reconstructive Surgery, 10. Pandey N, Jayaprakasam A, Feldman I, Malhotra R. We remind readers of the grey‑line approach to levator Thirty-eight eyelids with recalcitrant eyelid margin entropion were treated using anterior lamellar recession and gray line split with graft, with a success rate of 94. (F) At the end of the surgery. Heier and Dr. (b) Posteriorly migrated MCJ (white dotted line) with LMK in SJS. These glands are as tall as the tarsus, and they open at a point just in front of the lid margin where the conjunctiva meets the skin (mucocutaneous junction). It may avoid the morbidity associated with full thickness eyelid resection and might be useful for other, nonmalignant eyelid ifests as the gray line of the eyelid margin. This represents the edge of the muscle of Riolan. In some people a fine gray line can be distinguished at the free border of the eyelid. The visualized gray line was consistently seen to correspond histologically to the most superficial portion of the orbicularis muscle, known as the muscle of Riolan. Jeffrey S. It again is tracked to come out through the gray line, about 1–2 mm beyond the cut end. Between the lash line and the meibomian line lies a faint gray line, which is more pronounced in younger individuals. Mar 29, 2020 · Anatomically (Fig. 12‑6a). One-stop clinical education via the Ophthalmic News and Education (ONE) Network The gray line is also referred to as the muscle of Riolan and represents the pretarsal orbicularis muscle on the eyelid margin. ELDER and RICHARD COLLIN London lamella of the eyelids and it is the orientation of the Dec 7, 2017 · Instead of dissection at two sites, i. Posterior to the lash line on the eyelid margin is the easily noticeable line of meibomian glands, which emanate from the edge of the tarsus. (B) Split eyelid into anterior and posterior lamellae. The line divides the eyelid into an anterior lamella (eyelid skin and muscle) and posterior lamella (tarsus and conjunctiva). 5 mm above the lid margin, are marked with gentian violet (Fig. Nov 20, 2022 · The eyelashes originate anterior to the gray line. Lid edema: +1 if no overhanging of tissues, +2 if upper eyelid skin folds or lower lid festoons are present Since lateral canthal tendon laxity represents the main issue in a significant part of lax eyelids, the lateral tarsal strip (LTS), which is an operation to tighten the lateral canthal tendon, is Within the tarsal plates are 25 tiny glands called mebomian glands. May 4, 2020 · Normal appearance of posterior lid margin and lid margin keratinization (LMK). It is innervated by cranial nerve 7, the facial nerve ( Fig. We remind readers of the grey-line approach to levator recession (LR) and lamellar repositioning Feb 1, 2014 · Sebaceous glands (Meibomian glands within eyelid fibrous tarsus and glands of Zeis associated with eyelashes) create lipid layer of tear film which retards evaporation of tears The orifices of Meibomian glands open just in front of the posterior edge of the lid margin and are separated from the more anteriorly placed eyelashes by a gray line Careful and methodical repair of eyelid margin lacerations is exceedingly important for maintaining both the function and aesthetic integrity of the eyelid. Function-ing in conjunction with the orbicularis oculi muscle are two other muscles, the levator palpe-bral superioris and Mueller muscle, which in con-trast elevate the eyelid. lamina) and the posterior formed by the tarsus and conjunctiva (post lamina). Apr 19, 2023 · Dark eyelids may be due to aging, an underlying condition, or a reaction to medication or sun exposure. The architecture of the lid margin may be lost along with the loss of eyelashes in chronic inflammation and malignant neoplasms of the eyelid. Aug 29, 2017 · A grey-line incision was first made along the length of the upper eyelid using a No. For all three kinds of transcutaneous lower-eyelid incisions, a temporary tarsorrhaphy is recommended to help protect the cornea. The meibomian glands and tarsus comprise the layer of the eyelid margin Apr 1, 2017 · The needle again is passed through the other side of the cut end of the tarsus, at a similar position. The posterior edge of the lid margin is sharper compared to the anterior edge which is rounded. Special emphasis is given to blepharitis – inflammation of the eyelid margin, its types, clinical features and management. 2018; 66:725–6. The gray line serves as an important Jun 20, 2023 · Upper eyelid reconstruction is a surgical procedure used to correct lid defects of the upper eyelid that occur from surgical resection of tumors, trauma, or congenital anomalies like a coloboma. Upper eyelid division and cryotherapy involves the following steps: Incision along grey line to separate the anterior and posterior lamellae. 1), the eyelid is separated into the anterior and posterior lamella. 0b013e3182467c11. Note that this is just A grey line is visible transversely along the middle of each lid margin which marks the junction of these two lamellae. grey‑line: Avoiding a skin‑crease incision Nidhi Pandey1,2, Anuradha Jayaprakasam2,3, Ilan Feldman 2, Raman Malhotra Purpose: This study aims to report a case series of upper eyelid cicatricial margin entropion with retraction, corrected through a grey‑line approach only. [PMC free article] [Google Scholar] Jan 26, 2010 · A few of the congenital eyelid disorders are mentioned. A chalazion is sometimes called an eyelid cyst or a meibomian cyst. Having made a transverse subciliary skin incision and a dissection between the tarsus and the orbicularis oculi muscle, the subcutaneous tissue of the superior edge of the incision was secured to the tarsus with Gawdat TI, Diab MM. Attenuation of the septum results in psuedoherniation of the intra-orbital fat. 2012 Mar-Apr;28(2):134-9. Anterior lamella – eyelid skin and orbicularis muscle This study aims to report a case series of upper eyelid cicatricial margin entropion with retraction, corrected through a grey-line approach only. Patients with significant inferior fornix contraction or symblepharon undergoing concurrent fornix reconstruction with buccal mucosal grafts at the same time as lamella repositioning were excluded. A chalazion might be painful at first, but the pain will subside quickly. The skin Dec 28, 2017 · 21 Eyelid Reconstruction Jan W. This junction is called the grey line and through it the lid can be split into anterior lamella and posterior lamella. The palpebral segment is responsible for the blink reflex. It makes up about two thirds of the thickness of the eyelid, with the remaining, deeper part, composed of conjunctival mucosa. 0b013e3182467c11, 28:2, (134-139), Online publication date: 1-Mar-2012. This is the line of separation between the anterior and posterior lamellae of the eyelid. 2. It's proper diagnosis and prompt and Mar 17, 2021 · It separates the anterior and posterior lamella of the upper eyelid. The different lamellae of the eyelid are separated by the grey line which is composed of the muscle of Riolan, a thin strip of pretarsal orbicularis muscle. Nov 11, 2024 · The Grey Line marks the division between skin and conjunctiva, where lashes and meibomian gland openings are located. Sep 20, 2017 · Posterior to the lash line on the eyelid margin is the easily noticeable line of meibomian glands, which emanate from the edge of the tarsus. The structure of the eyelid can be broken down into two conceptual layers, the anterior and posterior lamella. They secrete an oily substance that prevents Jun 19, 2024 · The grey line of the lid margin is a delicate gray line that runs along the free margin of the eyelid. The palpebral segment consists of both voluntary and involuntary muscle fibers. This approach allows for Aug 23, 2016 · The eyelids are made up of two parts: the frontal skin–muscle layer is the soft layer, and the back hard segment is the tarsoconjunctival layer. REGISTER NOW! FREE CME LIVE SYMPOSIUM AND LIVESTREAM! Join Dr. 1097/IOP. Eyelids contain muscle, glands, blood vessels, nerves and connective tissue. 2 The facial nerve and its branches are delineated, demonstrating innervation of the orbicularis oculi muscle among other muscles of facial animation. (c) Focal patch of LMK post plaque brachytherapy for a lid tumour. This malposition is extremely common and disrupts the normal tear film and protective functions of the eyelid. When preparing to repair a laceration of the lid margin, the first steps include identifying the tarsus, grey line, anterior lash line, and the mucocutaneous junction. Infectious lesions include verruca vulgaris, molluscum contagiosum, and hordeolum. A stye is a painful lump that develops on the eyelid. Within the tarsal plates are 25 tiny glands called mebomian glands. An incision along this surgical plane divides the eyelid into anterior and posterior lamellae. Indian J Ophthalmol. 0 suture is passed through the skin of the upper eyelid and exits through the Gray line of the upper lid margin. Remove the skin sutures and the grey line suture at a week. Lacerations through an anatomic structure called the gray line, situated on the palpebral edge, require diligent reapproximation, making referral prudent. [1] Reconstruction of upper eyelids due to surgical resections of neoplasms, such as skin cancers excised by Mohs micrographic surgery, requires additional consideration. Most chalazia (the Jun 11, 2019 · The grey-line incision spans almost the entire upper eyelid length, extending medially at about 2 mm lateral to the upper punctum and laterally to the lateral canthus. The muscle of Riolan, which forms the gray line of the eyelid margin, arises from the orbital segment of the orbicularis oculi muscle. Conclusion: Anterior lamellar resection of nodular basal cell carcinomas involving the tarsal lower eyelid skin using a grey line lid-splitting technique is a simple and one-step technique with good clinical outcome. In the upper lid, this plane is traversed by fibers of the levator aponeurosis, some of which pass through the orbicularis to attach to the skin to form the lid crease. Just posterior to the grey line lies the mucocutaneous junction, at the Meibomian gland openings. The gray line is a well-known surface anatomic landmark used by surgeons in the repair of lacerations involving the lid margin. (a) Normal everted upper eyelid showing gray line, mucocutaneous junction (MCJ) and the lid-wiper. The tarsal conjunctiva is dried with a swab and a series of points, 3. 5. Jun 28, 2008 · Lid margin splitting was performed along the grey line on the medial third or half of the lower eyelid by making a 1 mm-deep incision. (This is done to ensure that the two sides of the gray lines are aligned. Oct 4, 2019 · 7-0 polygalactin (Vicryl) sutures placed in the tarsus, gray line to gray line with a vertical mattress suture; a slight eversion of the wound edges is desirable to avoid the risk of notching of the eyelid margin (Fig 4. 74% and 89. Academy Members-Only Access. Entropion Jan 1, 2014 · The lid may be split into anterior and posterior portions through this potential plane, which is reached by division at the gray line of the lid margin. An incision posterior to the gray line along the eyelid margin demarcates the anterior lamella from the posterior lamella of the eyelid. Secondly, the deep sutures are the most important in providing structure to the eyelid, and closure of the orbicularis and tarsus together provides robust support for this. Small dense roundish basal cells continue underneath the initial part of the lid wiper. We shall be discussing what is anterior and posterior lamina in detail when we talk about the layers of eyelids. The gray line represents the location of the marginal region of the orbicularis muscle seen through the lid skin. This feature, known as the gray line, is a critical surface anatomical landmark for the surgical repair of eyelid margin lacerations, helping surgeons to precisely realign the eyelid edges for optimal healing and functional recovery. The grey line is also referred to as the muscle of Riolan and represents the pretarsal orbicularis muscle on the eyelid margin. Note any facial asymmetry and record the following: Best corrected visual acuity of each eye. e. Malhotra R, Yau C, Norris JH. 11 An incision posterior to the gray line along the eyelid margin demarcates the anterior lamella from the posterior lamella of the eyelid. Apr 1, 2002 · The gray line demarcates the eyelid into anterior and posterior lamellae, and contains the muscle of Riolan (Wulc et al. The meibomian glands and tarsus comprise the layer of the eyelid margin We examined block resections of 51 eyelids histologically following localization of the gray line. Malhotra R, et al. (D) Suture anterior lamella in recessed position. But now lets continue with the gross anatomy of eyelids . Benign neoplastic lesions include squamous cell papilloma, epidermal inclusion cyst, dermoid Gray line lies anterior to meibomian gland openings and represents an avascular plane between the orbicularis and the tarsal plate. The posterior lamella consists of the conjunctiva and tarsal plate. 1987, Lipham et al. Close the skin with interrupted 6/0 nonabsorbable sutures starting at the lash line. It is histologically related to the most superficial portion of the orbicularis oculi muscle, known as the muscle of Riolan. Methods: A grey line upper lid split and a vertical anterior lamellar repositioning was performed on 16 lids of 11 patients with OCP. Surgical steps of anterior lamellar recession: (A) Grey line incision. doi: 10. 2018; 66:273–7. (E) Repositioning sutures in place. EYELID SKIN May 7, 2020 · As it approaches the eyelid margin, orbicularis muscle is termed “the muscle of Riolan,” visualized as the gray line. Meibomian Glands: Located within the tarsal plates, these are specialized sebaceous glands that open along the inner rim of the eyelid margin. Kronish GOALS AND PRINCIPLES Loss of eyelid tissues most often results from trauma and surgical excision of neoplasms. Medial Palpebral Ligament What is the gray line found on the eyelid? A line of vascularity. We remind readers of the grey-line approach to levator recession (LR) and lamellar repositioning surgery. Sep 23, 2024 · Gray Line: A subtle grayish line along the edge of the eyelid that serves as a surgical landmark separating the anterior and posterior portions of the eyelid. This malposition often directs the eyelashes posteriorly at the globe, which can cause corneal and conjunctival damage, potentially leading to chronic corneal disease. The gray line, the gap between the pretarsal tissue and the underlying tarsal plate, marks the junction of the skin and the conjunctiva (Figure 2). (Figure 1) Skin We examined block resections of 51 eyelids histologically following localization of the gray line. Margin reflex distance (MRD): MRD 1: Upper lid margin to central corneal light Pandey N, Jayaprakasam A, Feldman I, Malhotra R. The most common benign inflammatory lesions include chalazion and pyogenic granuloma. Arshad M. center, consecutive case series of patients with lower eyelid cicatricial margin entropion undergoing the above procedure. They can easily be separated with a knife when entering along the gray line at the lid margin (Fig. The gray line is a surgically important landmark in reconstruction, canthoplasty and other surgical procedures involving the eyelids. rvhtvn tawezd xoodg bljn woiyxs dkzprkw imzrhxfw fcyna dfhexo cydxk