Overview
Epiblepharon is a horizontal fold of skin across the eyelid that turns the eyelashes inward; it is more often described in the lower lid and in young children, and upper eyelid epiblepharon past childhood is rare. The authors report two such cases treated with incisional double-eyelid surgery, which both corrects the eyelash inversion and creates a double eyelid crease, and describe that no prior report has detailed this combined approach and outcome.
Findings
- Two cases: a 16-year-old female adolescent and a 35-year-old woman, both with upper eyelid epiblepharon and excess skin.
- Both treated with incisional double-eyelid surgery combined with skin excision.
- Eyelash inversion corrected in both patients.
- Double eyelid formed in both patients.
- Aesthetic improvement reported in both patients.
- The abstract gives no measured outcome scores, complication data or follow-up duration.
What it means for a patient
- Upper eyelid epiblepharon, a fold that turns the lashes inward, can occur beyond early childhood and can be corrected together with a double-eyelid procedure.
- In these two patients, one surgery fixed the inward-turning lashes and created a lid crease.
- This report covers two patients only, with no numeric outcome measures given in the abstract.
Why this paper matters
It is presented as the first detailed report combining eyelash-inversion correction with double-eyelid creation in upper eyelid epiblepharon diagnosed after childhood.
Terms
- Epiblepharon: a fold of skin across the eyelid margin that pushes the eyelashes against the eye.
- Eyelash inversion (trichiasis-like turning): eyelashes rubbing against the eye surface instead of pointing outward.
- Incisional double-eyelid surgery: a technique using a skin incision, rather than only buried sutures, to create an upper eyelid crease.
- Skin excision: surgical removal of a strip of eyelid skin.