J Korean Ophthalmol Soc.  2002 Mar;43(3):533-538.

Correction of Epiblepharon by Excision of Redundant skin and Pretarsal orbicularis muscle without tarsal fixation

• Lee YK
• Ahn Y

Abstract

PURPOSE: To evaluate the effect of the excision of redundant skin and pretarsal orbicularis muscle without tarsal fixation on the correction of the congenital epiblepharon.
METHODS
We performed the surgery on 115 patients, 220 eyes from January 1996 to December 1999, and evaluated the functional, and cosmetic result. Surgical treatment included excision of redundant skin and pretarsal orbicularis muscle without tarsal fixation and simple skin suture technique.
RESULTS
The mean age of the group was 7.2+/-6.8 years. There were 45 males and 70 females. Following the average follow up period of 18.4+/-4.5 months (minimum was 12 months), 212 eyes (96.4%) showed satisfactory result in functional and cosmetic aspect with of 8 eyes (3.6%) showed undercorrection early postoperativey but none underwent reoperation due to recurrences.
CONCLUSIONS
This operative technique resulted in a good cosmetic and functional result.

Keyword

Epiblepharon; Operative technique; Tarsus fixation

MeSH Terms

Female
Follow-Up Studies
Humans
Male
Recurrence
Reoperation
Skin*
Suture Techniques