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Updated: Jan 1, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
A New Surgical Technique Used for Correction of Congenital Blepharoptosis
Xiaoteng Miao1, Tailing Wang1, Xu Zhou1
1Head and Neck Plastic and Cosmetic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.
Background:
Blepharoptosis is defined as the drooping or lower displacement of the upper eyelids. Various kinds of surgical techniques and modifications have been introduced to improve the surgical outcomes, but the high recurrence rate and unsatisfying cosmetic results remain as a common problem.
Purpose:
To solve the problem mentioned above, we came up with our new surgical technique and conducted a retrospective review to verify its effectiveness.
Patients And Methods:
A retrospective review was conducted among the patients diagnosed as genuine congenital blepharoptosis and receiving the surgical treatments where our unique technique was used between January 2016 and January 2019. The clinical records and preoperative and postoperative photographs were collected and evaluated.
Results:
A total of 83 patients were included in our study, 78 (94%) of them acquired good surgical outcomes, while 4 (4.8%) of them got fair results, and 1 (1.2%) of them got a poor result. No long-term lagophthalmos, ectropion, entropion and fornix conjunctival prolapse were noted.
Conclusions:
Our surgical technique introduced here is effective in the management of genuine congenital blepharoptosis.
Level Of Evidence Iii:
For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
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