Related Experiment Video
Updated: Feb 20, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
A new surgical technique for congenital distichiasis
Alicia Galindo-Ferreiro1,2, Hind Alkatan3, Azza Maktabi1
1a Oculoplastic Division , King Khaled Eye Specialist Hospital , Riyadh , Saudi Arabia.
Purpose:
To describe a new technique to treat congenital distichiasis.
Methods:
Case series of three distichiatic patients undergoing a novel surgical technique combining splitting of the lid margin with the distichiatic lashes, marginal tarsectomy in the affected area, and tarsoconjunctival graft obtained from the upper region of the tarsus. The graft was sutured at the exposed region of the marginal tarsectomy.
Results:
Good cosmesis was obtained in all cases and the lids margins healed completely with good surgical outcome and no lashes contacted the cornea postoperatively.
Conclusions:
The split lamellae with a composite tarsoconjunctival graft results in satisfactory functional and cosmetic outcomes. The upper tarsal region represents an ideal donor site.
