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Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Strabismus surgery for children with developmental delay.

Grace Liu¹, Milan P Ranka

¹aPediatric Ophthalmic Consultants bNew York University Langone Medical Center, New York, USA.

Current Opinion in Ophthalmology

|July 23, 2014

Summary

This summary is machine-generated.

Surgical correction for strabismus in children with developmental delay is effective, though outcomes vary. Early intervention is encouraged to improve vision and quality of life, with further research needed.

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Area of Science:

Ophthalmology
Pediatric Surgery
Developmental Pediatrics

Background:

Strabismus is a common ophthalmologic condition in children with developmental delay.
Surgical management of strabismus in this population presents unique challenges and considerations.

Purpose of the Study:

To review current evidence on the surgical approach for strabismus in children with diverse developmental delays.
To inform clinical decision-making regarding surgical timing, dosage, and treatment type.

Main Methods:

Review of recent scientific literature on strabismus surgery in developmentally delayed children.
Analysis of surgical outcomes, variability, and influencing factors.

Main Results:

Surgical outcomes for strabismus in children with developmental delay show variability, even with dose adjustments.
Early surgical intervention is beneficial for fusional potential, impacting vision and quality of life.
Reoperations are more common in this cohort, necessitating careful patient selection and informed consent.

Conclusions:

Strabismus surgery in developmentally delayed children is generally well-tolerated and effective, but predictability can be reduced.
Tailoring treatment based on the type and severity of developmental delay and assessing binocular potential is crucial.
Future research should focus on prospective, comparative, long-term studies with larger sample sizes.