Visual Acuity and Astigmatism after Simultaneous Surgery for Upper and Lower Eyelid Epiblepharon in Children

Dong Won Hyun; Chan Yang Jeon; Sun Young Jin; Myung Sook Ha

doi:10.3341/jkos.2011.52.3.272

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Hyun, Jeon, Jin, and Ha: Visual Acuity and Astigmatism after Simultaneous Surgery for Upper and Lower Eyelid Epiblepharon in Children

Original Article

J Korean Ophthalmol Soc 2011;52(3):272-276.

Published online: 7 September 2011

DOI: https://doi.org/10.3341/jkos.2011.52.3.272

Visual Acuity and Astigmatism after Simultaneous Surgery for Upper and Lower Eyelid Epiblepharon in Children

Dong Won Hyun, MD, Chan Yang Jeon, MD, Sun Young Jin, MD, Myung Sook Ha, MD

Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea

Address reprint requests to Myung Sook Ha, MD Department of Ophthalmology, Konyang University Hospital #685 Gasuwon-dong, Seo-gu, Daejeon 302-241, Korea Tel: 82-42-600-9258, Fax: 82-42-600-9176, E-mail: hmseye@hanmail.net

Received 16 June 200928 August 2010 Accepted 16 December 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To study the changes in vision and astigmatism in epiblepharon patients undergoing simultaneous surgery for both upper and lower eyelid epiblepharon.

Methods

The study subjects consisted of 40 eyes of 20 patients who underwent surgery for both upper and lower eyelid epiblepharon from March 2007 to December 2008. The patients were divided into groups depending on the degree of corneal erosion. Uncorrected and best corrected vision, refractive error and the degree of corneal erosion were measured before and three months after the surgery.

Results

The mean patient age was 7.40 years, and all but three patients showed postoperative grade 0 corneal erosion. Mean uncorrected logMAR visual acuity was 0.44 preoperatively and 0.25 three months after the operation. The mean best corrected logMAR visual acuity was 0.13 preoperatively and 0.04 three months after the operation (p = 0.02, 0.01). Mean astigmatism showed a significant decrease from 1.46 preoperatively to 1.19 three months after surgery (p = 0.03).

Conclusions

After simultaneous surgery for upper and lower eyelid epiblepharon in children, uncorrected and best corrected visual acuity and corneal erosion were all improved. The astigmatism was largely with-the-rule, both before and after surgery.

Keywords: Astigmatism, Children, Corneal erosion, Simultaneous operation of upper and lower eyelid epiblepharon

References

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Figure 1.

Change of astigmatism between before and after operation at 3 months followup.

Figure 2.

Change of corneal erosion between before and after operation at 3 months followup.

Table 1.

Distribution of age in epiblepharon children

Age (yr)	No. of children (%)
3-4	3 (15.0)
5-6	1 (5.0)
7-8	11 (55.0)
9-10	4 (20.0)
11-	1 (5)
Total	20 (100)

Table 2.

Distribution of the axis of astigmatism

	Preop. No. of eyes (%)	Postop. 3 months No. of eyes (%)
With-the-rule	29 (72.5)	28 (70.0)
Against-the rule	7 (17.5)	10 (25)
Oblique	4 (10.0)	2 (5)

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