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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Lid margin split in the surgical correction of epiblepharon
Sang Won Hwang1, Sang In Khwarg, Jong Hyun Kim
1Department of Ophthalmology, Dongguk University International Hospital, Goyang, Gyeonggi, Korea.
Acta Ophthalmologica
|September 7, 2007
Summary
This study presents a surgical technique for correcting lower eyelid epiblepharon by splitting the lid margin. The procedure effectively resolved symptoms and improved cosmetic outcomes without complications.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Oculoplastics
Background:
- Epiblepharon is a condition where the eyelid margin is turned inward, causing eyelashes to rub against the cornea.
- Surgical correction is often necessary to prevent ocular surface damage and improve patient comfort.
Purpose of the Study:
- To describe a surgical technique combining lid margin splitting with excision of redundant skin and muscle for epiblepharon repair.
- To evaluate the clinical outcomes and efficacy of this combined procedure.
Main Methods:
- A total of 31 eyes from 19 patients underwent lower eyelid margin splitting along the grey line, combined with subciliary skin and orbicularis muscle excision.
- Sutures were used to secure the superior edge of the incision to the tarsus for cilia eversion, followed by skin closure.
Main Results:
- All patients experienced symptom resolution post-surgery.
- Eyelashes did not contact the cornea in 30 out of 31 eyelids.
- Satisfactory cosmetic results were achieved with no scarring or complications like ectropion or retraction.
Conclusions:
- Lamellar splitting of the lid margin is a beneficial adjunct for repairing prominent lower eyelid epiblepharon, particularly medially.
- This technique facilitates cilia eversion without compromising the posterior lamella or causing adverse effects.
