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Updated: Jun 2, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Epiblepharon correction combined with skin redraping epicanthoplasty in children
Jae Ho Jung1, Hyun Kyu Kim, Hee Young Choi
1Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, South Korea.
Purpose:
To evaluate the results of lower eyelid epiblepharon correction combined with skin redraping epicanthoplasty.
Methods:
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.
Results:
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.
Conclusions:
This surgical technique is an effective method for the correction of coexistent epiblepharon and epicanthal fold without significant complications.
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Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...