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Acquired lower eyelid epiblepharon

R I Park1, D R Meyer

  • 1Division of Orbital and Ophthalmic Plastic Surgery, Lions Eye Institute, Albany, NY 12208, USA.

American Journal of Ophthalmology
|September 1, 1996
PubMed
Summary
This summary is machine-generated.

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Acquired lower eyelid epiblepharon is rare, but can occur after eyelid surgery. Surgical repair involves addressing disrupted eyelid retractors and scarring for successful correction.

Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • Congenital epiblepharon is common, especially in Asian populations.
  • Acquired lower eyelid epiblepharon is an uncommon condition.

Observation:

  • An 8-year-old boy presented with unilateral lower eyelid epiblepharon post-zygomatico-orbital fracture repair via subciliary incision.
  • Clinical presentation included an overriding lower eyelid skin fold and absent lower eyelid crease.

Findings:

  • Surgical exploration revealed disruption and scarring of the lower eyelid retractors, suborbicularis fascia, and orbital septum.
  • Successful correction was achieved through plication of the eyelid retractors and skin to the tarsus.

Implications:

  • Disruption of the anterior subcutaneous fibers of the lower eyelid retractors (capsulopalpebral fascia) is a contributing factor to epiblepharon.

Related Experiment Videos

  • This case highlights a rare complication of lower eyelid surgery and its successful management.