case_images: PMC3843936_01
case_images: Patient before surgery with 2 mm of sclera exposure.
case_images: cop-0004-0229-g01.jpg
case_images: PMC3843936_01_cop-0004-0229-g01.jpg
case_images: F1
case_images: However, at the last checkups, the lower eyelids had retracted again, and she presented recurrent lower keratitis caused by a scleral exposure of 1-2 mm in both eyes, in spite of a good Bell's phenomenon and an intensive treatment with lubricants (fig. 1).
case_images: Scars of previous maxillofacial surgeries.
case_images: cop-0004-0229-g02.jpg
case_images: PMC3843936_01_cop-0004-0229-g02.jpg
case_images: F2
case_images: In view of the fact that the patient had undergone surgery of the palatal area on several occasions due to her craniofacial malformations (fig. 2), we used an auricular cartilage instead of a hard palate.