Acquired Lower Eyelid Epiblepharon

Although congenital epiblepharon is a relatively common condition, particularly in Asians, acquired lower eyelid epiblepharon is rare. We examined an 8-year-old boy who developed unilateral lower eyelid epiblepharon after a subciliary incisional approach for repair of a zygomatico-orbital fracture....

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Bibliographic Details
Published inAmerican journal of ophthalmology Vol. 122; no. 3; pp. 449 - 451
Main Authors Park, Robert I., Meyer, Dale R.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.09.1996
Elsevier
Subjects
Biological and medical sciences
Child
Eyelid Diseases - etiology
Eyelid Diseases - surgery
Humans
Male
Malformations of the eye
Medical sciences
Ophthalmology
Orbital Fractures - surgery
Postoperative Complications
Zygomatic Fractures - surgery
Human
Case study
Eye disease
Eyelid disease
Acquired
Unilateral
Lower eyelid
Child
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Summary:Although congenital epiblepharon is a relatively common condition, particularly in Asians, acquired lower eyelid epiblepharon is rare. We examined an 8-year-old boy who developed unilateral lower eyelid epiblepharon after a subciliary incisional approach for repair of a zygomatico-orbital fracture. The patient demonstrated an overriding fold of right lower eyelid skin and loss of the lower eyelid crease. At the time of surgical repair, disruption and scarring of the lower eyelid retractors, suborbicularis fascia, and orbital septum were noted. The epiblepharon was successfully corrected by plication of the retractors and skin to the tarsus. Disruption of the anterior subcutaneous fibers of the lower eyelid retractors (that is, capsulopalpebral fascia) contributes to epiblepharon.
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ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)72084-7