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Updated: Aug 17, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Acquired lower eyelid epiblepharon in patients with thyroid eye disease
Eli L Chang1, Jasmine Hayes, Mark Hatton
1Ophthalmic Plastic, Orbital, and Reconstructive Surgery, Doheny Eye Institute, Los Angeles, California 90033, USA. elichang@usc.edu
Purpose:
To describe a series of patients with acquired epiblepharon secondary to thyroid-related orbitopathy.
Methods:
Retrospective case series of 9 patients with thyroid-related orbitopathy who had epiblepharon.
Results:
Seven patients had epiblepharon in both lower eyelids and 2 patients had it in one lower eyelid. Six of the 9 patients were Asian. Each patient had punctate keratopathy. Epiblepharon resolved in all but one patient after treating coexisting manifestations of thyroid-related orbitopathy. One patient required epiblepharon repair.
Conclusions:
We describe a new finding of acquired epiblepharon in the setting of thyroid-related orbitopathy. The majority of patients have spontaneous resolution of the epiblepharon after other surgical procedures for thyroid-related orbitopathy.
