Journal of the Korean Ophthalmological Society 2002;43(11):2101-2105.
Published online November 1, 2002.
The Effect of Upper and Lower Lid Blepharoplasty for Patients with Corneal Problems due to Medial Upper and Lower Eyelash.
Sangduck Kim, Chin Han Pae, Hye Ra Kang, Jae Duck Kim
Department of Ophthalmology, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science, Korea. sangduck@wonkwang.ac.kr
내측 상하 눈썹에 의한 각막 자극이 있는 환자에서 상안검 및 하안검 성형술의 효과
김상덕 ( Sang Duck Kim ) , 배진한 ( Chin Han Pae ) , 강혜라 ( Hye Ra Kang ) , 김재덕 ( Jae Duck Kim )
Abstract
PURPOSE
Epicanthal folds and epiblepharon which often develop in oriental children are congenital anomalies of eyelids. These may need surgical correction because corneal irritation may develop by medial upper and lower eyelash besides cosmetic problems. V-Y plasty and Mustarde's method are standards for correction of epicanthal folds, but not usually performed because of cosmetic scar formation. METHODS: This study included 26 patients, 52 eyes (19 females, 38 eyes; 7 males, 14 eyes) with corneal irritation due to medial upper and lower eyelash. We performed upper and lower lid blepharoplasty simultaneously and analyzed their results and complications through medical records. RESULTS: Epiblepharon associated with epicanthus tarsalis was found in 22 patients, 22 eyes, epicanthus palpebralis in 4 patients, 8 eyes. At the time of surgery mean age was 7 years old (3.7~10.3 years old). During the follow-up more than 6 months, double fold asymmetry was found in 1 patient, double fold loosening in 1 patient, 2 eyes, lower eyelid undercorrection in 2 patients, 3 eyes. CONCLUSIONS: These findings suggest that simultaneous upper and lower lid blepharoplasty for patients with corneal problems due to medial upper and lower eyelash is more unsatisfactory in the cosmetic result than standard method, but has advantage of less scarring, and thought to be a good method to relieve corneal irritation.
Key Words: Epiblepharon;Epicanthus fold;Upper and lower blepharoplasty


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