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Abstract：
OBJECTIVE: In cases of epiblepharon with lower eyelid retraction secondary to glaucoma, correcting epiblepharon alone is ineffective. Combined surgery should be performed to obtain satisfactory outcomes.
OBJECTIVE: To investigate outcomes after surgery to correct epiblepharon with lower eyelid retraction secondary to buphthalmos in children.
METHODS: A retrospective analysis of six eyes in four patients was performed included lower lid retractor recession combined with marginal rotation with tarsal fixation. The margin reflex distance-2, lagophthalmus, resolution of clinical symptoms, and complications were assessed during 6 to 12 months of follow-up.
RESULTS: In all cases, epiblepharon and lagophthalmus were corrected, symptoms of photophobia and epiphora were relieved, and the corneal epithelium was repaired. The margin reflex distance-2 decreased and remained normal during the follow-up period, but slightly regressed within 6 months postoperatively.
CONCLUSIONS: Epiblepharon caused by buphthalmos in children is often associated with lower eyelid retraction. Lower lid retractor recession combined with marginal rotation with tarsal fixation fundamentally solves the problems of high eyelid tension, lower eyelid retraction, and epiblepharon and reduces the recurrence rate.
OBJECTIVE: To investigate outcomes after surgery to correct epiblepharon with lower eyelid retraction secondary to buphthalmos in children.
METHODS: A retrospective analysis of six eyes in four patients was performed included lower lid retractor recession combined with marginal rotation with tarsal fixation. The margin reflex distance-2, lagophthalmus, resolution of clinical symptoms, and complications were assessed during 6 to 12 months of follow-up.
RESULTS: In all cases, epiblepharon and lagophthalmus were corrected, symptoms of photophobia and epiphora were relieved, and the corneal epithelium was repaired. The margin reflex distance-2 decreased and remained normal during the follow-up period, but slightly regressed within 6 months postoperatively.
CONCLUSIONS: Epiblepharon caused by buphthalmos in children is often associated with lower eyelid retraction. Lower lid retractor recession combined with marginal rotation with tarsal fixation fundamentally solves the problems of high eyelid tension, lower eyelid retraction, and epiblepharon and reduces the recurrence rate.
摘要：
目的：在青光眼继发下眼睑退缩的眼睑眼睑下垂的病例中，仅矫正上睑是无效的。应进行联合手术以获得满意的结果。
目的：探讨儿童下睑脱出伴下睑退缩的眼睑眼睑矫正手术后的结局。
方法：对4例患者的6只眼进行了回顾性分析，包括下眼睑牵开器缩回结合边缘旋转和tc骨固定。边缘反射距离-2，眼睑，临床症状的解决，并在6~12个月的随访期间评估并发症.
结果：在所有情况下，眼睑和眼睑矫正，畏光和溢光症状缓解,角膜上皮修复。在随访期间，边缘反射距离-2下降并保持正常，但在术后6个月内略有消退。
结论：儿童下睑下垂常与下睑退缩有关。下睑牵开器后退结合睑缘旋转与睑板固定从根本上解决了眼睑张力高的问题，下眼睑回缩，并降低复发率。
目的：探讨儿童下睑脱出伴下睑退缩的眼睑眼睑矫正手术后的结局。
方法：对4例患者的6只眼进行了回顾性分析，包括下眼睑牵开器缩回结合边缘旋转和tc骨固定。边缘反射距离-2，眼睑，临床症状的解决，并在6~12个月的随访期间评估并发症.
结果：在所有情况下，眼睑和眼睑矫正，畏光和溢光症状缓解,角膜上皮修复。在随访期间，边缘反射距离-2下降并保持正常，但在术后6个月内略有消退。
结论：儿童下睑下垂常与下睑退缩有关。下睑牵开器后退结合睑缘旋转与睑板固定从根本上解决了眼睑张力高的问题，下眼睑回缩，并降低复发率。
