title: A new method of medial epicanthoplasty for patients with blepharophimosis-ptosis-epicanthus inversus syndrome.
abstract: OBJECTIVE
  To describe a medial epicanthoplasty technique using the skin redraping method and review the surgical outcome in patients with blepharophimosis-ptosis-epicanthus inversus syndrome (BPES).
  
  
  METHODS
  Retrospective, noncomparative, interventional case series with the description of a new surgical technique.
  
  
  METHODS
  Sixteen consecutive Asian patients with BPES.
  
  
  METHODS
  The charts of patients with BPES who underwent medial epicanthoplasty using the skin redraping method were reviewed retrospectively. Preoperative and postoperative inner intercanthal distance (IICD), interpupillary distance (IPD), horizontal palpebral fissure length (HPFL), and visibility of the scar were measured. The ratio of the IICD to IPD (IICD ratio) was calculated.
  
  
  METHODS
  Postoperative improvement in IICD ratio and the visibility of the surgical scar.
  
  
  RESULTS
  The preoperative median IICD ratio was 1.65 (range, 1.49-1.83) and decreased to 1.27 (range, 1.02-1.48) postoperatively. The median reduction in IICD ratio was 21.7% (range, 16.7%-38.2%) (P<0.001, Wilcoxon signed-rank test). Fourteen patients (87.5%) had no visible scarring or scarring only visible under close inspection. Two patients (12.5%) had a more apparent scar, but no patient had severe scarring that required revision.
  
  
  CONCLUSIONS
  Medial epicanthoplasty using the skin redraping method is an effective technique in the treatment of epicanthus inversus and telecanthus in patients with BPES, with excellent cosmetic outcomes.
authors: Department of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
authors: Ho-Seok
authors: HS
authors: Sa
authors: Jung Hye
authors: JH
authors: Lee
authors: Kyung In
authors: KI
authors: Woo
authors: Yoon-Duck
authors: YD
authors: Kim
mesh_terms: D044466:Asian People / Q000208:ethnology; D016569:Blepharophimosis / Q000208:ethnology / Q000601:surgery*; D019882:Blepharoplasty / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005143:Eyelids / Q000601:surgery*; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D012868:Skin Abnormalities / Q000208:ethnology / Q000601:surgery*; D016896:Treatment Outcome; D014564:Urogenital Abnormalities