Purpose :, The Hughes tarsoconjunctival flap provides a means of reconstructing posterior lamellar defects of the lower eyelid. The aim of our study was to determine and assess the outcomes of this procedure that is used in eyelid reconstruction and to assess associated intra and post operative complications .

Methods : Twelve eyes were included in the study and were subjected to posterior lamella reconstruction by hughs flap . Palpebral fissure measurements , lid movements , tear break up time test , degree of post operative scar and patient satisfaction all were used to assess anatomical and functional success of this procedure .

Results : Our study revealed high anatomical and functional success of hughs flap

Conclusion : Hughes tarsoconjnvtival flap is an effective and convenient procedure that is indicated to manage up to near total lower eyelid defect with little intra operative and post operative complications.

Keywords : hughes flap , lid defects .