Surgical management of upper lid epiblepharon.

BACKGROUND

Upper lid epiblepharon refers to a developmental anomaly characterised by the presence of an exaggerated skin fold running horizontally across the upper lid below the lid margin, which in severe cases is associated with lash-cornea touch or even corneal punctate epithelial erosions.

METHOD

This retrospective study looked at 14 patients who underwent bilateral upper lid pretarsal orbicularis debulking and skin excision to correct lash-globe contact from the upper lid.

RESULTS

Surgery was successful in 25 of 28 lids, with one recurrence being successfully re-operated. The remaining 2 recurrences did not undergo further surgery as the patients were asymptomatic.

CONCLUSION

This surgical procedure appears to be an effective treatment of lash inversion in upper lid epiblepharon with good aesthetic results.