Khwarg S I, Lee Y J
Department of Ophthalmology, Seoul National University College of Medicine, Korea.
Korean J Ophthalmol. 1997 Dec;11(2):111-7. doi: 10.3341/kjo.1997.11.2.111.
To determine a classification system for epiblepharon of the lower eyelid and to evaluate a possible correlation between lower lid epiblepharon and astigmatism. Three morphologic characteristics (skin fold, cilia touching the cornea and corneal erosion) were observed by slit-lamp biomicroscopic examination and Polaroid pictures in 186 eyes of 102 patients with epiblepharon of the lower lid. In 112 eyes, cycloplegic refractions performed. A classification system reflecting the severity of epiblepharon was then sought, and the incidences and type of astigmatism were evaluated. Epiblepharon of the lower lid could be classified according to the height of skin fold, the area of cornea touched by cilia and the area of corneal erosion. There was significant agreement between these three classifications. The incidence of astigmatism of 0.5D or more was 54%; most was 'with-the-rule', regardless of a patient's age. In addition to the representative nature of other characteristics, skin fold height can be easily measured without the need for slit-lamp examination in children and is closely related with the amount of skin which should be excised during surgery to correct epiblepharon. A classification system using skin fold height may therefore be the most appropriate method. In addition, there may be a correlation between lower lid epiblepharon and astigmatism.
确定下睑睑裂狭小的分类系统，并评估下睑睑裂狭小与散光之间可能存在的相关性。通过裂隙灯显微镜检查和宝丽来照片观察了102名下睑睑裂狭小患者的186只眼中的三种形态学特征（皮肤褶皱、睫毛接触角膜和角膜糜烂）。对其中112只眼进行了睫状肌麻痹验光。然后寻求一种反映睑裂狭小严重程度的分类系统，并评估散光的发生率和类型。下睑睑裂狭小可根据皮肤褶皱的高度、睫毛接触角膜的面积和角膜糜烂的面积进行分类。这三种分类之间存在显著一致性。0.5D及以上散光的发生率为54%；大多数为顺规散光，与患者年龄无关。除了其他特征的代表性外，皮肤褶皱高度易于测量，儿童无需裂隙灯检查，且与矫正睑裂狭小手术中应切除的皮肤量密切相关。因此，使用皮肤褶皱高度的分类系统可能是最合适的方法。此外，下睑睑裂狭小与散光之间可能存在相关性。
