New Incision Line for Epiblepharon Repair

ABSTRACT

PURPOSE: To evaluate the clinical efficacy of a procedure using a new incision line in cases of epiblepharon. METHODS: This study comprises 199 eyes of 105 patients (56 males, 49 females) clinically diagnosed with epiblepharon. The mean period of follow-up was 4.42 months. After marking the punctal position, the medial limit of the incision line was determined so as not to exceed the medial canthus, and the lateral limit was determined so as not to touch the cilia. The lower incision line was a folded line of skin formed after pulling the upper skin of the medial canthal area or after a downward gaze of the patient. The upper incision line was parallel to the lid margin from the medial limit and met the lower incision line at the lateral limit. RESULTS: Recurrence happened in three eyes, but only one of them underwent re-operation. The other 2 eyes showed weak touching not to need operation. There were no postoperative complications. CONCLUSIONS: This procedure with a newly designed incision line for cases of epiblepharon showed a low recurrence rate and good cosmetic results, with a reduced operation time.