Eyelid Splitting and Micro surgical Excision for Congenital Distichiasis.

Park, D W; Kim, Y D

Original Article

Journal of the Korean Ophthalmological Society 1999;40(10):2657-2661.
Published online October 1, 1999.

Eyelid Splitting and Micro surgical Excision for Congenital Distichiasis.

D W Park, Y D Kim

Department of Ophthalmology, Sungkuynkwan University School of Medicine, Samsung Medical Center.

안검분리 후 현미경하 모낭절제술을 이용한 선천성 두줄속눈썹의 치료

박동우(Dong Woo Park),김윤덕(Yoon Duck Kim)

Abstract

Congenital distichiasis is a rare abnormality in which a partial or complete accessory row of eyelashes grows out of or slightly posterior to the meibomi-an orifices and may occur sporadically or as an autosomal dominant condi-tion. It is a very difficult condition to treat successfully and several tech-niques have been described. We split eyelid along the gray line to expose distichiatic eyelash follicles and excised them with the aid of an operating microscope on a 33-year-old female with family history of congenital dis-tichiasis. Postoperatively, the corneal irritation was greatly improved and the patient was satisfied with functional and cosmetic results. There was no complication. We report that eyelid splitting and microsurgical excision for congenital distichiasis is an excellent surgical method.

Key Words: Congenital distichiasis;Eyelid splitting;Microsurgical excision