Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/58654
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Type: Journal article
Title: Eyelash inversion in epiblepharon: Is it caused by redundant skin?
Author: Kakizaki, H.
Leibovitch, I.
Takahashi, Y.
Selva-Nayagam, D.
Citation: Clinical Ophthalmology (online), 2009; 3(1):247-250
Publisher: Dove Medical Press Ltd
Issue Date: 2009
ISSN: 1177-5483
1177-5483
Statement of
Responsibility: 
Hirohiko Kakizaki, Igal Leibovitch,Yasuhiro Takahashi and Dinesh Selva
Abstract: Purpose: To evaluate the effect of redundant lower eyelid skin on the eyelash direction in epiblepharon. Materials and methods: Asian patients with epiblepharon participated in this study. The lower eyelid skin was pulled downward in the upright position with the extent just to detach from eyelash roots, and the direction of the eyelashes was examined. These evaluations were repeated before surgery while the patients were lying supine under general anesthesia. Results: The study included 41 lower eyelids of 25 patients (17 females, 8 males, average age; 5.6 years, 16 cases bilateral, 9 unilateral). In the upright position, without downward traction of the skin, the eyelashes were vertically positioned and touching the cornea. The redundant skin touched only the eyelash roots and had minimal contribution to eyelash inversion. With downward skin traction, there was no signifi cant change in the eyelash direction. In the spine position, the eyelashes were touching the cornea, and there was marked redundant skin that was pushing the eyelashes inward. With downward skin traction, there was no significant change. Conclusions: The direction of lower eyelashes in patients with epiblepharon was less infl uenced by lower eyelid skin redundancy than previously considered. The redundant skin is only a possible aggravating factor to epiblepharon.
Keywords: epiblepharon; skin redundancy; upright; eyelash
Rights: © 2009 Kakizaki et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
RMID: 0020096455
DOI: 10.2147/OPTH.S4907
Appears in Collections:Opthalmology & Visual Sciences publications

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