Outcomes of surgery for epiblepharon accompanied with lower eyelid retraction secondary to buphthalmos in children  

作　　者：Wenhong Cao Yuan Wang Li Li Yunwei Fan Wen Liu Cheng Li Tianwei Liang Junyan Zhang Qian Wu 

机构地区：[1]National Key Discipline of Pediatrics,Department of Ophthalmology,Beijing Children’s Hospital,Capital Medical University,National Center for Children’s Health,Beijing,China

出　　处：《Pediatric Investigation》2021年第4期288-292,共5页儿科学研究（英文）

摘　　要：Importance:In cases of epiblepharon with lower eyelid retraction secondary to glaucoma,correcting epiblepharon alone is ineffective.Combined surgery should be performed to obtain satisfactory outcomes.Objective:To investigate outcomes after surgery to correct epiblepharon with lower eyelid retraction secondary to buphthalmos in children.Methods:A retrospective analysis of six eyes in four patients was performed included lower lid retractor recession combined with marginal rotation with tarsal fixation.The margin reflex distance-2,lagophthalmus,resolution of clinical symptoms,and complications were assessed during 6 to 12 months of follow-up.Results:In all cases,epiblepharon and lagophthalmus were corrected,symptoms of photophobia and epiphora were relieved,and the corneal epithelium was repaired.The margin reflex distance-2 decreased and remained normal during the follow-up period,but slightly regressed within 6 months postoperatively.Interpretation:Epiblepharon caused by buphthalmos in children is often associated with lower eyelid retraction.Lower lid retractor recession combined with marginal rotation with tarsal fixation fundamentally solves the problems of high eyelid tension,lower eyelid retraction,and epiblepharon and reduces the recurrence rate.

关 键 词：ENTROPION Buphthalmos RETRACTION Marginal rotation 

分 类 号：R779.6[医药卫生—眼科]