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Updated: Jun 22, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Congenital eyelid colobomas in 51 patients
Ashok Kumar Grover1, Zia Chaudhuri, Sarmi Malik
1Department of Ophthalmology, Sir Ganga Ram Hospital, New Delhi, India.
Purpose:
To review the clinical observations in the management of congenital eyelid coloboma.
Methods:
Fifty-one cases of congenital eyelid colobomas including the functional and cosmetic rehabilitation of patients who were treated over a period of 18 years with an average follow-up of 4.7 years were retrospectively reviewed.
Results:
Thirty-eight patients had an upper eyelid coloboma and 13 patients had a lower eyelid coloboma. Systemic associations included Goldenhar syndrome and Treacher-Collins-Franceschetti syndrome. Twenty-two patients with upper eyelid colobomas underwent surgery by direct apposition, eyelid sharing procedures, or a lateral rotation flap. Lower eyelid colobomas were repaired in 4 patients.
Conclusion:
Gratifying cosmetic and functional results could be achieved in all 26 patients who underwent surgery.

