Oculoplastic complications of OOKP surgery

Purpose To report the incidence, types and management of oculoplastic complications following OOKP surgery. Methods A retrospective review of case records of 60 patients who underwent OOKP surgery was performed between November 1996 and March 2012. Mucous membrane, eyelid and cosmetic complications were studied following each stage in the two stage OOKP procedure. Results Patients age ranged from 19 to 95 years and the follow up duration varied from 6 months to 15 years. The commonest diagnosis was Stevens-Johnson syndrome followed by chemical or thermal burns and mucous membrane pemphigoid. Forty nine or 82% of these patients had some form of oculoplastic complication. After the Stage 1, 27% of these patients had mucous membrane complications and 15% had eyelid complications. Following the Stage 2, 68% of these patients had mucous membrane complications and 53% had eyelid complications Three patients wore cosmetic shells and all of them had shell fitting problems. Most of the complications were successfully managed with appropriate surgical procedures. Conclusion Oculoplastic complications are the most common complications after the OOKP surgery. They are most frequently noted following the Stage 2 procedure. The outcome is generally favorable with timely recognition and management and they do not usually have an adverse affect over visual acuity.