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Epiblepharon Repair

Introduction

Eyelashes that turn in toward the eyeball are a common problem with Asian eyelids. When this occurs on the upper lid, it can cause eye irritation as well as visual obstruction. Surgical repair of this problem, combined with a double eyelid procedure, improves function and appearance. This can also occur on the lower lid with upturned lashes and can cause problems with contact lenses and LASIK surgery

Indications

Itching and tearing, redness, irritation and photophobia.  Mild cases can be treated with lubricating eye drops or ointment.  In severe cases surgery may be warranted.

Procedure

Epiblepharon needs surgical treatment only when there is severe ocular symptoms.  This procedure involves skin excision and also excision of the underlying muscle.  Sutures are placed to reposition the eyelid margin

Risks

Complications can occur, but are rare. Infection is always a possibility – however this is uncommon after lid surgery.  Haemorrhage can occur and has the potential to affect eyesight, however with laser surgery this is very rare.  Damage to the muscle in the upper or lower lid can result in a droopy eyelid. Precautions are taken for this not to occur but if it should occur, it can be repaired.  Damage to a muscle in the lower lid can result in double vision.  Usually this resolves, however it may require a further operation.  If too much skin is taken from the upper eyelid, difficulty in closing the eye can occur.  As the lid skin is incised, a scar may result. The incision is in the lid crease and will fade with time.  However, if one scars excessively it may be more prominent and require modification. Lid asymmetry can occur and may require modification.  The laser can damage the eye if fired directly at it.  This should not occur as Dr Lamb uses specially designed eye shields to prevent this.  Some discomfort, swelling and possibly bruising can occur, however it is minimised by the use of laser.