Lid crease and capsulopalpebral fascia repair in congenital entropion and epiblepharon.
Forty-one eyelids of 21 patients with congenital entropion or epiblepharon underwent transcutaneous reconstruction of the eyelid crease and retractor (capsulopalpebral fascia). All of the patients demonstrated lack of cutaneous-capsulopalpebral fascia attachment. In contrast with the patients with epiblepharon, those with congenital entropion also had partial or complete absence of tarsal-capsulopalpebral fascia attachment. Surgical treatment included anastomosis of the capsulopalpebral fascia, tarsal border, and eyelid skin crease; no skin or muscle was removed. With a minimum follow up of 1 year, malposition recurred in 3 of the 33 (9%) eyelids with epiblepharon, and in none of the 8 eyelids with entropion.
Millman
A L
AL
Department of Ophthalmology, Mt Sinai Medical Center, New York, NY.
Mannor
G E
GE
Putterman
A M
AM
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004774:Entropion / Q000151:congenital* / Q000601:surgery*; D005141:Eyelid Diseases / Q000151:congenital / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005205:Fascia / Q000002:abnormalities; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009132:Muscles / Q000601:surgery; D013710:Tendons / Q000601:surgery