Medial canthal repair restores the anatomy and function of the inner corner of the eyelids after trauma, tumour removal, or congenital deformity. The medial canthus anchors the lids and houses part of the tear drainage system.
Goals and Techniques
Surgery aims to re-establish proper lid position, tendon attachment, and lacrimal drainage alignment. Techniques may include canthal tendon reconstruction, local flaps, grafts, and repositioning of the puncta or canaliculi.
- Accurate alignment is critical to avoid webbing, notching, or rounding of the inner corner
- Preservation or reconstruction of the lacrimal system helps maintain tear drainage
- Procedures are tailored to defect size and depth
- Microsurgical suturing and careful tissue handling improve cosmetic outcomes
Recovery
Bruising and swelling around the inner corner are common at first. Over time, scars usually blend into natural creases.
- Eye lubrication and wound care are important during healing
- Follow‑up checks lid position, punctal patency, and symmetry
- Secondary refinement surgery may occasionally be needed
- Protection from trauma and avoidance of rubbing support long‑term results
