CONGENITAL LOWER EYELID DEFORMITY WITH TRICHIASIS (EPIBLEPHARON AND ENTROPION)

A series of 43 patients with congenital lower eyelid malposition and t richiasis (epiblepharon and entropion) is presented with clinical find ings, family history, approach to management and results of treatment. The average age of patients was 9.3 years. A family history was prese nt in 21%, and 30% had at least one parent of Oriental extraction. Thi rty-nine patients underwent surgery for persistent symptoms due to chr onic eyelash-globe contact. The surgical procedures performed were a m odified Hotz procedure, Quickert sutures, and Jones-type retractor pli cation. Surgery was effective in at least 90% of all procedures.