title: Management of epiblepharon: state of the art.
abstract: OBJECTIVE
  Epiblepharon is prevalent in East-Asian children. As the population in Asia is increasing, so is the demand for epiblepharon surgery. Surgeons should be familiar with the standards of beauty and needs of Asian people for epiblepharon management. This review provides a comprehensive summary of the published studies on the clinical manifestations, pathophysiology, and management of epiblepharon.
  
  
  RESULTS
  Astigmatism is prevalent in epiblepharon patients, which can contribute to amblyopia. Early surgery and visual rehabilitation is important for epiblepharon patients with a high degree of astigmatism and amblyopia. Various etiologic factors play a role in the pathophysiology of epiblepharon. Surgical procedures focusing on creation of a lower eyelid crease have been popular for treating epiblepharon in Western textbooks; however, this is not appropriate for Asian patients in whom, a crease may be undesirable. In selecting surgical methods, it is important to resect a minimal amount of skin-muscle to avoid the adverse effects of ectropion and eyelid retraction.
  
  
  CONCLUSIONS
  Although epiblepharon may resolve with facial growth, surgical correction is needed for cases in which there is significant corneal injury from the lash touch. Surgical management should focus on techniques that are effective, with little chance of complication, and do not create a lower eyelid crease.
authors.affiliation: Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
authors.forename: Kyung In
authors.initials: KI
authors.lastname: Woo
authors.forename: Yoon-Duck
authors.initials: YD
authors.lastname: Kim
mesh_terms: D000550:Amblyopia / Q000208:ethnology / Q000601:surgery; D044466:Asian People / Q000208:ethnology; D001251:Astigmatism / Q000208:ethnology / Q000601:surgery; D002675:Child, Preschool; D005141:Eyelid Diseases / Q000151:congenital* / Q000208:ethnology / Q000601:surgery; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007223:Infant; D013508:Ophthalmologic Surgical Procedures