Surgical Correction of the Blepharophimosis Syndorome.

Kim, Yoon Duek; Kim, Yoon Seok

Original Article

Journal of the Korean Ophthalmological Society 1993;34(10):936-942.
Published online October 1, 1993.

Surgical Correction of the Blepharophimosis Syndorome.

¹Department of Ophthalmology, Eulji General Hospital, Seoul, Korea.
²Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.

검열축소증후군 ( Blepharophimosis syndrome ) 의 수술적 교정

김윤덕(Yoon Duck Kim),김윤석(Yoon Seok Kim)

Abstract

During the past decade the syndorome of blepharoptosis, blepharophimosis, epicanthus inversus and telecanthus(blepharophimosis syndrome)have become recognized as a distinct tetrad based upon clinical and hereditary characteristics. Early surgery is recommended to minimize being teased at school altough the final results surgical correction may be better in older children and in adults. We treated nine patients with epicanthus by Mustarde's quadrilateral flap or Y to V flap Medial canthal tendon is shortened by tucking for telecanthus. Blepharoptosis is corrected by frontalis suspension using preserved dura or preserved fascia lata as a sling material. We experience satisfactory results in nine patients by this technique without serious postoperative complications.

Key Words: Blepharophimosis syndrome;Medial canthal tendon tucking;Mustarde's quadrilateral flap;Y to V flap