J Korean Ophthalmol Soc.
1998 Jan;39(1):11-16.
Surgical Correction fo Epiblepharon
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
- 2Department of Ophthalmology, College of medicine, Sungkyunkwan Univeristy, Samsung Medical Center.
Abstract
- Epiblepharon is one of the most common eyelid abnormalities among Asian children. The anatomic defect in epiblepharon is the absence of the adhesion between the lower eyelid retractors and the anterior lamella. We performed a simple surgical technique to correct epiblephron on 131 patients from January 1990 to September 1996. Several burried 8-0 nylon sutures were placed to allow adhesion between the tarsal plate and the subcutaneous tissue of the superior incision and minimal amount of the redundant skin and orbicularis muscle were removed. The average age at operation was 6.7 years. 97 patients (90.7%) showed satisfactory results with 6.7 months of average follow-up period. Ten patients (9.3%) showed recurrence of cilia touch but only 2 patients underwent reoperation with good result. Complications were minimal including 2 suture abscess and 1 wound dehiscence.
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