Analysis of Eyelid Crease Position in Children

ABSTRACT

The position of the upper lid crease is important factor in the reconstruction for lid anomaly and cosmetic defect. We were determined the proportions of the upper lid contour based on the following measurements in 115 children with bilateral lid crease and divided into 4 groups according to patient's eye(group I: below 4 years, group II: 5 ~ 7 years. group III: 8 ~ 10 years. group IV: 11 ~ 15 years); lashline-lid crease(LC), lashline-lower brow(LB), vertical fissure(VF), horizontal fissure(HF). All measured values(LC, LB, VF, HF) were increased with age(p<0.05). VF/HF and LC/LB ratio were not statistically significantly different between each age group. We concluded that when eye open, normal upper eyelid crease position was less than one fourth in I, II group. but approximately one fourth in III, IV group, and when eye closed, upper eyelid crease position is less than one third in I, II group but about one third in III, IV group.