Surgical Correction of Lower Lid Epiblepharon With Skin-Only Resection Using a Novel Design

Area of Science:

• Ophthalmology
• Surgical Techniques
• Pediatric Ophthalmology

Background:

• Lower eyelid epiblepharon is a condition where the eyelid margin turns inward, causing irritation.
• Surgical correction is often necessary, especially in pediatric patients.
• Existing techniques may have limitations in achieving optimal aesthetic and functional outcomes.

Purpose of the Study:

• To evaluate the surgical outcomes of lower eyelid epiblepharon repair using a novel skin-only resection technique.
• To assess the efficacy and safety of a newly designed incision line for this procedure.

Main Methods:

• A retrospective case series of 134 eyes from 67 patients undergoing surgical correction.
• Utilized a newly designed incision line for skin-only resection of lower eyelid epiblepharon.
• Follow-up duration exceeded 6 months, with a mean of 18.0 months.

Main Results:

• No recurrence of epiblepharon was observed during the follow-up period.
• No complications such as lower lid ectropion or retraction occurred.
• The technique effectively corrected the medial portion of the lower eyelid epiblepharon and prevented adverse outcomes like dog-ear formation.

Conclusions:

• Skin-only resection with the newly designed incision line is a simple, effective surgical method for lower eyelid epiblepharon.
• This approach offers successful correction, particularly for the medial aspect, while avoiding complications and aesthetic issues.
• The technique is suitable for pediatric patients with lower eyelid epiblepharon.