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Lid Crease and Capsulopalpebral Fascia Repair in Congenital Entropion and Epiblepharon

1994; Volume: 25; Issue: 3 Linguagem: Inglês

10.3928/1542-8877-19940301-08

2325-8179

Arthur L. Millman, Geva Mannor, A M Putterman,

Genetic and rare skin diseases.

Forty-one eyelids of 21 patients with congenital entropion or epiblepharon underwent transcutaneous reconstruction of the eyelid crease and retractor (capsulopalpebral fascia). All of the patients demonstrated lack of cutaneous-capsulopalpebral fascia attachment. In contrast with the patients with epiblepharon, those with congenital entropion also had partial or complete absence of tarsal-capsulopalpebral fascia attachment. Surgical treatment included anastomosis of the capsulopalpebral fascia, tarsal border, and eyelid skin crease; no skin or muscle was removed. With a minimum follow up of 1 year, malposition recurred in 3 of the 33 (9%) eyelids with epiblepharon, and in none of the 8 eyelids with entropion.