A New Method for Reconstruction the Medial Angle of the Eye Among Patients with Blepharophimosis Syndrome (Clinical Cases)

Abstract

Blepharophimosis syndrome (palpebral syndrome) is a sporadic or hereditary genetic disease, manifested mainly by changes in the eyelids in the form of blepharophimosis, ptosis of the upper eyelid and reverse epicanthus. Often, the classical triad is complemented by other anomalies: telecanthus, thickening and fibrotization of the skin of the eyelids and subcutaneous structures, expansion and rounding of the medial angle of the eye slit, lateral displacement of the lower lacrimal point, ectropion of the lower eyelid. In order to correct the epicanthus and the zone of the medial angle of blepharophimosis syndrome, many techniques have been proposed. Despite this, the choice of surgical treatment method is not unambiguous and remains controversial.Purpose. Development of a new method for surgical correction of the shape of the medial angle of the eye in patients with blepharophimosis syndrome. Patients and methods. We have proposed a method for surgical correction of the medial angle shape in patients with blepharophimosis syndrome. Two clinical cases have been described. Each patient underwent surgery according to the proposed method. Before surgery, patients underwent a standard ophthalmological examination, lacrimal lavage before surgery or intraoperatively, an objective examination, including an assessment of the shape of the medial angle, the position of the lower eyelid, determining the length of the eye slit, the distance of the lower lacrimal point from the medial junction. Examination of patients and evaluation of the results of surgical treatment were carried out on the following days, 2 and 3 months after the operation.Results. In each of the 2 cases, a positive cosmetic effect was achieved, the desired shape of the medial angle was achieved and, at the same time, tear drainage was not disturbed. Conclusion. The presented method of reconstruction of the medial angle of the eye allows you to get a more correct, narrowed shape, correct the abnormal position of the lower lacrimal point, while maintaining normal lacrimal drainage.

Keywords

• blepharophimosis syndrome
• palpebral syndrome
• epicanthus
• epicanthoplasty
• medial angle of the eye