Surgical Correction fo Epiblepharon.

Yi, Kayoung; Ku, Hyung Jin; Kim, Tae Woo; Kim, Yoon Duck

Original Article

Journal of the Korean Ophthalmological Society 1998;39(1):11-16.
Published online January 1, 1998.

Surgical Correction fo Epiblepharon.

Kayoung Yi, Hyung Jin Ku, Tae Woo Kim, Yoon Duck Kim

¹Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
²Department of Ophthalmology, College of medicine, Sungkyunkwan Univeristy, Samsung Medical Center.

덧눈꺼풀의 수술

김윤덕(Yoon Duck Kim),구형진(Hyung Jin Ku),이가영(Kayoung Yi),김태우(Tae Woo Kim)

Abstract

Epiblepharon is one of the most common eyelid abnormalities among Asian children. The anatomic defect in epiblepharon is the absence of the adhesion between the lower eyelid retractors and the anterior lamella. We performed a simple surgical technique to correct epiblephron on 131 patients from January 1990 to September 1996. Several burried 8-0 nylon sutures were placed to allow adhesion between the tarsal plate and the subcutaneous tissue of the superior incision and minimal amount of the redundant skin and orbicularis muscle were removed. The average age at operation was 6.7 years. 97 patients (90.7%) showed satisfactory results with 6.7 months of average follow-up period. Ten patients (9.3%) showed recurrence of cilia touch but only 2 patients underwent reoperation with good result. Complications were minimal including 2 suture abscess and 1 wound dehiscence.

Key Words: Epiblepharon;Surgical technique