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Updated: Feb 23, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Punctal Ectropion repair using the Raus-Garito clamp.

Peter P M Raus¹, Nathalie Bral², Richard Collin³

¹a Miró Centrum voor Oogheelkunde en Esthetiek , Geel , Belgium.

Orbit (Amsterdam, Netherlands)

|August 31, 2017

Summary

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A new surgical clamp effectively corrected ectropion of the lacrimal punctum in most patients, resolving tearing and improving cosmetic outcomes for ectropion repair.

Area of Science:

Ophthalmology
Surgical Innovation

Background:

Ectropion of the lacrimal punctum can cause significant tearing and cosmetic concerns.
Traditional surgical methods for ectropion repair may have variable outcomes.

Purpose of the Study:

To evaluate the efficacy of a novel surgical clamp for correcting lower eyelid ectropion involving the lacrimal punctum.

Main Methods:

A prospective study involving 55 patients (88 eyelids) with mild to moderate ectropion.
Surgical technique included tarso-conjunctival excision, retractor reattachment, and correction of horizontal lid laxity.

Main Results:

Successful resolution of tearing was achieved in 77 out of 88 eyelids (approximately 87.5%).
Persistent tearing was reported in 11 eyelids.

Keywords:

ectropion epiphora eyelid instrument surgery

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Conclusions:

The Raus-Garito clamp offers a promising approach for repairing early to intermediate ectropion of the lacrimal punctum.
This method is associated with favorable functional and cosmetic results.