Epiblepharon correction combined with skin redraping epicanthoplasty in children.
ABSTRACT To evaluate the results of lower eyelid epiblepharon correction combined with skin redraping epicanthoplasty.
The medical records of 17 consecutive patients who underwent a rotating suture technique combined with skin redraping epicanthoplasty for symptomatic bilateral lower eyelid epiblepharon were retrospectively reviewed. The outcomes evaluated included correction of cilia touch, surgical complications, recurrence, and subjective satisfaction.
All patients demonstrated satisfactory results during the 9.5 months of average follow-up. Recurrence and surgical complications, such as hypertrophic scar or lower eyelid crease formation, were not observed in any patient. Cosmetic results of the surgical intervention were considered satisfactory by all patients or their parents.
This surgical technique is an effective method for the correction of coexistent epiblepharon and epicanthal fold without significant complications.
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ABSTRACT: To describe a new surgical technique in patients with lower eyelid epiblepharon using an epicanthal weakening procedure with lash rotating sutures. Charts of patients with epiblepharon who underwent surgical correction using an epicanthal weakening procedure with lash rotating sutures were reviewed retrospectively. The preoperative severity of corneal erosion was graded and compared with the postoperative keratopathy. Postoperative surgical outcomes, complications and subjective satisfaction were also evaluated. 202 eyes of 101 patients were evaluated in this study. The preoperative cilia-corneal touch was corrected and keratopathy was improved, especially towards the medial aspect of the lower lid. There were four eyes (2.0%) of recurrent cilia-corneal touch, but none required reoperation. Cosmetic outcomes were considered to be 'very satisfied' in 95 patients, 'satisfied' in 6 patients, and no patients indicated 'neutral' or 'dissatisfied' results. In patients with epiblepharon with an epicanthal fold, surgical correction using an epicanthal weakening procedure with lash rotating sutures is a simple and effective method for correction, particularly when evaluating the medial portion of the lower eyelid. This method also produces a favourable cosmetic outcome with minimal scar formation.The British journal of ophthalmology 10/2013; · 2.92 Impact Factor
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ABSTRACT: To document the use of a transconjunctival approach to lower eyelid epiblepharon repair. Retrospective chart review of all patients who underwent transconjunctival lower eyelid epiblepharon repair. Nine patients underwent repair via this approach. All patients experienced the resolution of their keratitis and cilia-cornea touch by a 3-month postoperative interval, and no patient developed a postoperative complication. Furthermore, no patient developed cutaneous scarring. Conventional approaches to lower eyelid epiblepharon repair have necessitated the creation of a skin and muscle flap, thus risking the development of scarring and a cosmetically unacceptable eyelid crease. This report documents the use of a transconjunctival approach for the management of this condition that avoids external incisions and provides excellent outcomes without scarring of the anterior lamella of the eyelid.Ophthalmic plastic and reconstructive surgery 04/2014; · 0.69 Impact Factor