An Unaddressed Problem of Light Overexposure due to Supraorbital Rim Fractures and its Reconstruction with Bone Grafting and Forehead Flap

Three cases of supraorbital rim bone defect causing light overexposure to the affected eye were presented. The bony defect was replaced with iliac bone graft, and to cover it a midline forehead flap was transferred. The flap donor site was closed primarily in two cases and a full thickness skin graft was applied in the third case. For all the presented cases, the main complaint about light overexposure disappeared soon after surgery. I would like to conclude that supraorbital rim is one of the important structures of the craniofacial skeleton. Its defects should be considered for reconstruction no matter how small it seems; since it may be associated with a very disappointing complaint of light overexposure to the affected eye—which to my knowledge have not appeared in the literature so far.