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The Role of Midface Lift and Lateral Canthal Repositioning in the Management of Euryblepharon
Arch Ophthalmol. 2004;122:1075-1077.
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Euryblepharon is a congenital eyelid anomaly characterized by horizontal enlargement of the palpebral fissure. The eyelid is shortened vertically compared with the horizontal dimension, with associated lateral canthal malpositioning and lateral ectropion.1-2 It may be an isolated finding or associated with ocular anomalies such as lateral displacement of the proximal lacrimal drainage system, a double row of meibomian gland orifices,2 telecanthus, and strabismus.3 In severe cases, it may result in lagophthalmos and exposure keratopathy2 and may require surgical treatment. We report the results of 2 patients with hereditary disorders and euryblepharon treated successfully with midface lift and lateral canthal repositioning surgery. The surgical technique is described.
Report of Cases
Case 1. A 17-year-old girl with Noonan syndrome (Online Mendelian Inheritance in Man 163950) and bilateral lower eyelid euryblepharon since birth was seen with eye irritation and nocturnal lagophthalmos. The parents were also concerned about the aesthetic appearance of their child. An examination revealed . . . [Full Text of this Article] Surgical Technique
Comment
Chee-Chew Yip, MMed(Ophth), FRCSEd, FCSHK;
John D. McCann, MD, PhD;
Robert A. Goldberg, MD
Correspondence: Dr McCann, Division of Orbital and Ophthalmic Plastic Surgery, Jules Stein Eye Institute, Room 2-267, The David Geffen School of Medicine at UCLA, 100 Stein Plaza, Los Angeles, CA 90095-7006 (McCann@jsei.ucla.edu).
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