Journal of American Association for Pediatric Ophthalmology and Strabismus
Major ArticleNonsurgical correction of epiblepharon using hyaluronic acid gel
Section snippets
Subjects and Methods
The clinical records of all patients with epiblepharon who were treated with hyaluronic acid gel injection from 2009 to 2012 at the LV Prasad Eye Institute, Hyderabad, were retrospectively reviewed. The study was approved by the Institutional Review Board of LV Prasad Eye Institute. The following data were collected: demographic profile, extent of epiblepharon, and outcomes following hyaluronic acid gel injection. Only symptomatic patients with epiphora or reflex spasm and corneal
Results
A total of 10 eyelids of 8 patients with epiblepharon underwent hyaluronic acid gel injection during the study period. Patient demographics, relevant clinical findings, treatment outcome, and final follow-up of all 8 patients are provided Table 1.
The average age at presentation was 16.5 months (range, 1-74). Six patients had unilateral epiblepharon; 2 cases had bilateral involvement. Seven of the 10 eyelids showed a distinct skin fold in the lower eyelid. Nine eyelids had lash-cornea touch in
Discussion
Epiblepharon is believed to be a self-limiting condition, which corrects itself as the patient ages. In mild, asymptomatic cases, simple observation with conservative management is sufficient. Severe cases, with corneal epithelial keratopathy, may require surgical management. The nonsurgical treatment we report here can be a good alternative to surgery in moderate cases.5, 6 Transcutaneous injection allows easy visualization of the plane of filler delivery and makes it easy to fill the eyelid
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2020, World Journal of Clinical CasesReporting outcomes of hyaluronic gel filler as a treatment for epiblepharon
2019, Graefe's Archive for Clinical and Experimental OphthalmologySex-specific difference in age distribution of congenital lower eyelid epiblepharon in a Japanese population
2019, Japanese Journal of Ophthalmology