[Pay attention to patient's visual function in oculoplastic surgery for congenital blepharophimosis syndrome]

Blepharophimosis is characterized by the presence of a narrowed horizontal palpebral aperture, ptosis, epicanthus inversus, and telecanthus. Due to patient's eye deformity, both of his or her appearance and psychological development are affected. In some cases, blepharophimosis not only influence the appearance but also the visual development. Therefore, patients with blepharophimosis require to be evaluated the visual function before the surgery in order to prevent amblyopia. In this article, we conclude that we should pay close attention to patient's visual function before and after the surgery. The timing of surgery must weigh the balance between early surgery to prevent amblyopia and late surgery for more reliable ptosis measurement, which provides a better surgical outcome.