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Prognosis of Upper Eyelid Epiblepharon Repair in Down Syndrome

Cited 5 time in Web of Science Cited 5 time in Scopus
Authors
Lee, Kyoung Min; Choung, Ho Kyung; Kim, Nam Ju; Lee, Min Joung; Khwarg, Sang In; Lee, Kyeong-Wook
Issue Date
2010-10
Publisher
ELSEVIER SCIENCE INC
Citation
AMERICAN JOURNAL OF OPHTHALMOLOGY; Vol.150 4; 476-480
Abstract
OBJECTIVE: To evaluate the recurrence rate after upper eyelid epiblepharon repair in patients with Down syndrome. DESIGN: Retrospective, observational study. METHODS: Total of 578 Korean children (21 with Down syndrome patients, 557 with non-Down syndrome patients), who had undergone epiblepharon repair and were followed up for more than 2 months, were included in this study. The recurrence rate was compared between two groups at 2, 6 months after surgery. Recurrence was defined as the re-appearance of cilia touching to cornea. The recurrence rate was also analyzed according to whether patients had undergone concomitant z-medial epicanthoplasty or not. RESULTS: Lower eyelid epiblepharon repair was performed on 22 eyelids of Down syndrome patients, and 1072 eyelids of non-Down syndrome patients. At 3 months after surgery, the recurrence rate was not significantly different between two groups (P = 1.00). Upper eyelid epiblepharon was repaired on 40 eyelids of Down syndrome patients, and 204 eyelids in non-Down syndrome patients. At 2 and 6 months after surgery, the recurrence rate was significantly higher in Down syndrome patients (27.5% and 29.4%) than non-Down syndrome patients (3.4% and 4.6%) (P = 0.000, P = 0.004, respectively). The recurrence rate of upper eyelid epiblepharon repair was not affected in both groups whether Z-epicanthoplasty was combined or not (P = 1.00 in both groups). CONCLUSIONS: In Down syndrome patients, the recurrence rate after upper eyelid epiblepharon repair was higher than non-Down syndrome patients. The effect of combined Z-medial epicanthoplasty was limited in both groups. (Am J Ophthalmol 2010;150:476-480. (C) 2010 by Elsevier Inc. All rights reserved.)
ISSN
0002-9394
Language
English
URI
http://hdl.handle.net/10371/77800
DOI
https://doi.org/10.1016/j.ajo.2010.05.001
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College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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