Wang Y, Zhang Y, Tian N. Cause analysis and reoperation effect of failure and recurrence after epiblepharon correction in children. World J Clin Cases 2020; 8(24): 6274-6281 [PMID: 33392308 DOI: 10.12998/wjcc.v8.i24.6274]
Corresponding Author of This Article
Yue Wang, MD, Associate Chief Physician, Department of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, No. 1 Dongjiaominxiang, Dongcheng District, Beijing 100730, China. nickwang8672@sina.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 26, 2020; 8(24): 6274-6281 Published online Dec 26, 2020. doi: 10.12998/wjcc.v8.i24.6274
Cause analysis and reoperation effect of failure and recurrence after epiblepharon correction in children
Yue Wang, Yang Zhang, Ning Tian
Yue Wang, Yang Zhang, Ning Tian, Department of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100730, China
Author contributions: Wang Y designed the study; Zhang Y drafted the work and collected the data; Tian N and Wang Y analyzed and interpreted the data and wrote the article.
Institutional review board statement: The study was reviewed and approved by the Beijing Tongren Hospital affiliated to Capital Medical University Institutional Review Board (Approval No. TRECKY2020-063).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue Wang, MD, Associate Chief Physician, Department of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital of Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, No. 1 Dongjiaominxiang, Dongcheng District, Beijing 100730, China. nickwang8672@sina.com
Received: September 27, 2020 Peer-review started: September 27, 2020 First decision: October 27, 2020 Revised: November 4, 2020 Accepted: November 14, 2020 Article in press: November 14, 2020 Published online: December 26, 2020
ARTICLE HIGHLIGHTS
Research background
Previous literature rarely reported the reasons for the failure and recurrence of the correction surgery of epiblepharon. As far as we know, this study is the first to analyze the causes of failure and recurrence of epiblepharon in children and to summarize the operation skills of reoperation.
Research motivation
Corrective surgery of epiblepharon in children often fails or there is recurrence. Reoperation is necessary due to obvious irritation symptoms and corneal injury. What are the causes? What should we pay attention to in reoperation?
Research objectives
To explore the causes of failure and recurrence after epiblepharon correction in children, and to observe the therapeutic effect after reoperation.
Research methods
Twenty-two children (40 eyes) with epiblepharon were treated due to correction failure and recurrence. During reoperation, we accurately removed redundant epiblepharon and orbicularis muscle. Rotational suture technique and lid margin splitting were used.
Research results
After reoperation, all the patients were corrected. Photophobia, rubbing the eye, winking, and tearing disappeared. The corneal injuries were repaired. Follow-up observation for 6 mo showed no recurrence of epiblepharon.
Research conclusions
The type of suture method, the failure to remove accurately redundant skin and orbicularis muscle, the lack of cilia rotational suture use, and excessive reverse growth of eyelashes are the main causes of failure and recurrence after epiblepharon correction in children.
Research perspectives
In the future, more cases of recurrence of lower eyelid epiblepharon in children will be collected and will be followed up for a longer time after reoperation.
