In:
Journal of Pediatric Ophthalmology & Strabismus, SLACK, Inc., Vol. 54, No. 1 ( 2017-01), p. 15-16
Abstract:
Although much literature has focused on various techniques to repair epiblepharon, no study has addressed how frequently surgical intervention is required. Methods: The authors tabulated data from all patients with epiblepharon seen over the past 15 years. Results: Eighty-nine patients were included, 61 (69%) with tearing, discharge, conjunctival injection, or eye rubbing. Trichiasis was present in 15 cases (17%), 6 (7%) with corneal staining. In all cases, the initial treatment was conservative: antibiotic ointment or tear substitutes in 73 cases with trichiasis, symptoms of irritation, or corneal changes and observation in the remaining 16 cases. Three children (3%) were referred for eyelid surgery because of persistent symptoms. No patient had corneal scarring or long-term complications. Conclusions: Although vision-threatening complications can result, a trial of topical antibiotic ointment and/or ocular lubricants was effective in nearly all patients. Most resolved with minimal symptoms. The few eventually requiring eyelid surgery suffered no long-term complications. The authors recommend a trial of conservative treatment before eyelid surgery is undertaken. [ J Pediatr Ophthalmol Strabismus . 2017;54(1):15–16.]
Type of Medium:
Online Resource
ISSN:
0191-3913
,
1938-2405
DOI:
10.3928/01913913-20160810-02
Language:
English
Publisher:
SLACK, Inc.
Publication Date:
2017
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