lower eyelid epiblepharon
Conditions
Interventions
Suture method without skin incision
Modified Hotz procedure (with skin incision)
Sponsors
Yokohama City University Department of Ophthalmology
Kanagawa Children'
s Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who are 3 to 15 years of age with the keratopathy due to epiblepharon, who want to undergo a surgical treatment. When the ciliary touch is classified into three stages based on the previous report (Mild: contact with nasal conjunctiva, no corneal contact, Moderate: contact with nasal conjunctiva and cornea, Severe: contact with nasal conjunctiva, cornea and temporal conjunctiva), targeted to moderately relevant patients.
Exclusion criteria
Exclusion criteria: 1. Patients with systemic syndrome. 2. Patients with facial anomalies / facial features abnormalities / eyelid tumors etc. that are thought to affect epiblepharon. 3. Patients who undergo surgery at the same time for upper epiblepharon or epicanthus. 4. Patients who have had a history of surgery on eyelids in the past. 5. Patients with abnormal lid closure, such as facial nerve paralysis, ptosis of the eyelids. 6. Traumatic epiblepharon. 7. Patients with keratoconjunctival disease not caused by epiblepharon. 8. Patients who can not respond to ophthalmologic examination mainly by slit lamp microscopy mainly due to the mental retardation. 9. Patients whose bleeding or scarring seems to be different from normal 10. Other patients who is unlikely to participate in the study, judge by the medical doctor.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cure rate (1 month and 6 months after surgical) The severity of keratopathy and ciliary touch by slit-lump examination. | — |
Secondary
| Measure | Time frame |
|---|---|
| Recurrence rate, therapeutic effect, corneal shape, refraction, cosmetic, and safety. The severity of keratopathy and ciliary touch by slit-lump examination, corneal topography, auto refract mater, optical coherence tomography and photography. | — |
Countries
Japan
Contacts
Public ContactTomoko Ohno
Yokohama City University Ophthalmology
Outcome results
None listed