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Updated: Jul 13, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Reverse ptosis repair targeting the posterior layer of the lower eyelid retractor
Hirohiko Kakizaki1, Masahiro Zako, Masayoshi Iwaki
1Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi, Japan. cosme@dl.dion.ne.jp
Purpose:
To present a new technique for reverse ptosis repair targeting the posterior layer of the lower eyelid retractor.
Methods:
Retrospective case series.
Results:
The posterior layer of the lower eyelid retractor was advanced to improve reverse ptosis in 2 cases, which resulted from either microphthalmos or seventh nerve palsy. The affected lower eyelid levels were adjusted to almost the same height as the contralateral lower eyelids. One year after surgery, both cases maintained the same eyelid levels as were seen immediately postoperatively.
Conclusions:
Posterior layer advancement of the lower eyelid retractor is effective and useful for reverse ptosis repair.
