LID CREASE AND CAPSULOPALPEBRAL FASCIA REPAIR IN CONGENITAL ENTROPIONAND EPIBLEPHARON

Forty-one eyelids of 21 patients with congenital entropion or epibleph aron underwent transcutaneous reconstruction of the eyelid crease and retractor (capsulopalpebral fascia). All of the patients demonstrated lack of cutaneous-capsulopalpebral fascia attachment. In contrast with the patients with epiblepharon, those with congenital entropion also had partial or complete absence of tarsal-capsulopalpebral fascia atta chment. Surgical treatment included anastomosis of the capsulopalpebra l fascia, tarsal border, and eyelid skin crease; no skin or muscle was removed. With a minimum follow up of 1 year, malposition recurred in 3 of the 33 (9%) eyelids with epiblepharon, and in none of the 8 eyeli ds with entropion.