Related Experiment Video
Updated: Aug 6, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Anterior-Posterior Lamella Eyelid Split and Tarso-Conjunctival Excision in a Paediatric Patient with
Harry Hohnen1, Tiki Ewing2, Olivia MacVie2
1Department of Ophthalmology, Fremantle Hospital, Fremantle, WA, Australia.
Introduction:
Lymphoedema-distichiasis syndrome is a rare inherited congenital condition in which accessory eyelashes emerge from the meibomian gland orifices on the posterior lamella of the eyelid margin.
Case Presentation:
We describe the first case of an anterior-posterior lamella eyelid split and tarso-conjunctival excision without a mucosal graft performed in a paediatric patient with distichiasis.
Conclusion:
This case report provides further evidence of the safety and efficacy of this procedure as an alternative to previous treatment modalities while demonstrating the feasibility of using the technique in paediatric patients.

