Br J Ophthalmol 2000;84:1407-1410
( December )
Surgical correction for lower lid epiblepharon in Asians
Kyung In Wooa, Kayoung Yic, Yoon-Duck Kimb
a Department of
Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk
Samsung Hospital, Seoul, Korea, b Samsung Medical Center, Seoul, Korea, c Department of Ophthalmology, National
Medical Center, Seoul, Korea
Correspondence to: Dr Yoon-Duck Kim, Department of Ophthalmology, Samsung
Medical Center, 50, Ilwon-dong, Kangnam-gu, Seoul, Korea, 135-230
ydkim{at}smc.samsung.co.kr
Accepted for publication 16 June 2000
BACKGROUND/AIMS
Epiblepharon
is a congenital lid anomaly in which a fold of skin and underlying
orbicularis muscle push the lashes against the eyeball. It is important
to get a good lash eversion effect without forming a prominent lid
crease in Asian patients. The surgical effect of this rotating suture
technique was evaluated.
METHODSSurgical
correction for epiblepharon was performed on 197 patients and the
results analysed in 169 patients who had
been followed for 1 month or more. After subciliary incision, several
buried 8-0 nylon sutures were placed to allow adhesion between the
tarsal plate and the subcutaneous tissue of the upper skin flap with minimal resection of pretarsal orbicularis and redundant skin.
RESULTS156 patients
(92.3%) showed satisfactory results during 7.1 months of average
follow up. Reoperation was performed only on two patients out of 13 because of mildness of symptoms and signs. Complications were minimal
including suture abscesses in four patients and wound dehiscence in one.
CONCLUSIONThe
rotating suture technique was very effective in repairing epiblepharon
without forming a prominent lower eyelid crease.
© 2000 by British Journal of Ophthalmology
