J Korean Ophthalmol Soc.  1993 Oct;34(10):936-942.

Surgical Correction of the Blepharophimosis Syndorome

• Kim YD
• Kim YS

Abstract

During the past decade the syndorome of blepharoptosis, blepharophimosis, epicanthus inversus and telecanthus(blepharophimosis syndrome)have become recognized as a distinct tetrad based upon clinical and hereditary characteristics. Early surgery is recommended to minimize being teased at school altough the final results surgical correction may be better in older children and in adults. We treated nine patients with epicanthus by Mustarde's quadrilateral flap or Y to V flap Medial canthal tendon is shortened by tucking for telecanthus. Blepharoptosis is corrected by frontalis suspension using preserved dura or preserved fascia lata as a sling material. We experience satisfactory results in nine patients by this technique without serious postoperative complications.

Keyword

Blepharophimosis syndrome; Medial canthal tendon tucking; Mustarde's quadrilateral flap; Y to V flap

MeSH Terms

Adult
Blepharophimosis*
Blepharoptosis
Child
Fascia Lata
Humans
Postoperative Complications
Tendons