J Korean Ophthalmol Soc.
2006 Apr;47(4):505-511.
The Effect of Nonincisional Double Fold Formation Using Three Small Incisions, Two-stitch Method
- Affiliations
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- 1Department of Ophthalmology, Gachon Medical School, Gil Hospital, Incheon, Korea.
- 2Kong Eye Medical Center, Seoul, Korea.
- 3Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
Abstract
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PURPOSE: The aim of this study was to analyze the effects of using the nonincisional, double fold formation method with three small incisions and two-stitches.
METHODS
This study included 39 patients who underwent double eyelid operation by a nonincisional technique and who were followed up for more than 6 months. On the desired double eyelid line, three points 6 mm apart were marked and three stab incisions made. A small amount of subcutaneous tissue was removed through the incisions, and orbital fat was removed through the lateral wound site-if necessary. Using double-armed 7-0 nylon or prolene, two buried sutures of 6 mm width were made. Sixteen patients also underwent surgery for epiblepharon, and three patients with unilateral double eyelid due to trauma had a contralateral eyelid operation for asymmetry correction. Five patients also had epicanthoplasty.
RESULTS
Two patients lost their folds completely and reoperations were performed. Two patients showed cysts due to suture material and so the suture knots were removed; the double fold remained afterwards, so no other procedures were needed. In one case, the suture was seen subcutaneously, so suture removal and reoperation were performed.
CONCLUSIONS
To minimize double fold loss, which is a disadvantage of the nonincisional double fold formation technique, we removed a portion of pretarsal tissue, muscle, and/or orbital fat and made two wide slings. Also, we corrected asymmetry due to traumatic unilateral double eyelid and epicanthal fold. In conclusion, we expect that our method could extend the applicability of nonincisional double fold formation.
