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Reticular Fiber Distribution in the Upper Eyelid of East Asians
Hirohiko Kakizaki1,2,3, HeeBae Ahn2, Derrick Lian4
1Asami Eye Surgery Clinic, Obu, Aichi, Japan.
Ophthalmic Plastic and Reconstructive Surgery
|February 13, 2026
Summary
Reticular fibers are abundant in East Asian upper eyelids, supporting various structures. Degeneration of these fibers was noted in elderly specimens, indicating age-related changes.
Area of Science:
- Ophthalmology
- Anatomy
- Histology
Background:
- Reticular fibers are a key component of connective tissue.
- Their specific distribution in the human upper eyelid is not fully elucidated.
Purpose of the Study:
- To investigate the distribution patterns of reticular fibers in the upper eyelid of East Asian individuals.
Main Methods:
- Analysis of sagittal sections from 24 East Asian cadaver upper eyelids (ages 36-94).
- Specimens were fixed in formalin and stained with silver nitrate for histological examination.
Main Results:
- Reticular fibers were widely distributed throughout the upper eyelid structures.
- Abundant fibers were found beneath the skin and conjunctiva, in the eyelid margin, and tarsal plate.
- These fibers ensheathed various glands, muscles, nerves, and vascular structures, with diffuse distribution in ligaments and aponeuroses.
- Sparse or coarse distributions were observed in subcutaneous and adipose tissues.
- Elderly specimens showed both intact and degenerated reticular fibers.
Conclusions:
- Reticular fibers exhibit a widespread and adaptable distribution within the East Asian upper eyelid.
- Age-related degeneration of reticular fibers was observed in older individuals.
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