Ahn Hee Bae, Seo Jang Won, Yoo Jae Ho, Jeong Woo Jin, Park Woo Chan, Rho Sae Heun
Departments of Ophthalmology, College of Medicine, Dong-A University, Busan, Korea.
J Pediatr Ophthalmol Strabismus. 2011 Jan-Feb;48(1):57-60. doi: 10.3928/01913913-20100420-01. Epub 2010 Apr 22.
To evaluate the clinical manifestations of epiblepharon in Korean children and the relationship between this condition and body mass index.
In a retrospective case-control study, 223 children 6 to 15 years of age treated surgically for epiblepharon were studied and compared with an age-matched control group of 264 children. Data on age, sex, weight, height, and recurrence were recorded.
Mean age of the patients was 8.63 ± 4.43 years. Lower eyelids were commonly involved bilaterally. Chief complaints included ocular discomfort, eye rubbing, visual disturbances, photophobia, and epiphora. Minimal resection of orbicularis oculi with full-thickness eyelid rotatory suture for epiblepharon was performed on 223 patients. The body mass index in girls 12 to 15 years old with epiblepharon was significantly higher than that in children without epiblepharon (P < .05). There was a statistically significant correlation between the incidence of epiblepharon and obesity with aging in girls (P < .05). Reoperation was performed on 12 patients (4.4%) because of recurrence of corneal irritation with inverted eyelashes. Clinical factors such as sex, age, and body mass index did not affect the rate of recurrence.
Epiblepharon is one of the most common eyelid abnormalities among Asian children. Obese Korean girls aged 12 to 15 years demonstrated symptomatic epiblepharon at a statistically significant level.
评估韩国儿童睑缘内翻的临床表现及其与体重指数之间的关系。
在一项回顾性病例对照研究中，对223例6至15岁接受睑缘内翻手术治疗的儿童进行研究，并与264例年龄匹配的儿童对照组进行比较。记录年龄、性别、体重、身高和复发情况的数据。
患者的平均年龄为8.63±4.43岁。下眼睑通常双侧受累。主要症状包括眼部不适、揉眼、视力障碍、畏光和溢泪。对223例患者进行了睑缘内翻的眼轮匝肌最小切除术及全层眼睑旋转缝合术。12至15岁患有睑缘内翻的女孩的体重指数显著高于未患睑缘内翻的儿童（P<.05）。女孩中睑缘内翻的发生率与肥胖随年龄增长之间存在统计学显著相关性（P<.05）。因倒睫导致角膜刺激复发，对12例患者（4.4%）进行了再次手术。性别、年龄和体重指数等临床因素不影响复发率。
睑缘内翻是亚洲儿童中最常见的眼睑异常之一。12至15岁的肥胖韩国女孩出现有症状睑缘内翻的情况在统计学上具有显著意义。
