Related Experiment Video
Updated: Feb 21, 2026
A Standardized Surgical Technique for Tessier Medial Transnasal Canthopexy
Published on: January 23, 2026
Surgical management of upper lid epiblepharon
Background:
Upper lid epiblepharon refers to a developmental anomaly characterised by the presence of an exaggerated skin fold running horizontally across the upper lid below the lid margin, which in severe cases is associated with lash-cornea touch or even corneal punctate epithelial erosions.
Method:
This retrospective study looked at 14 patients who underwent bilateral upper lid pretarsal orbicularis debulking and skin excision to correct lash-globe contact from the upper lid.
Results:
Surgery was successful in 25 of 28 lids, with one recurrence being successfully re-operated. The remaining 2 recurrences did not undergo further surgery as the patients were asymptomatic.
Conclusion:
This surgical procedure appears to be an effective treatment of lash inversion in upper lid epiblepharon with good aesthetic results.
