Muzaffer Çelik1, Ufuk Emekli2

1Kranioplast, Estetik Cerrahi ve Kraniofasial Cerrahi Merkezi, İstanbul, Türkiye
2İstanbul Üniversitesi İstanbul Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, İstanbul, Türkiye

Keywords: Blepharophimosis; blepharoptosis; epicantus inversus


Objectives: Blepharophimosis, ptosis and epicanthus inversus syndrome is a condition that effects development of the eyelids. This condition has narrowing of the eye opening ( blepharophimosis ), droopy eyelids (ptosis) and an upward fold of the skin of the eye ( epicantus inversus ). There is an increased distance between inner corners of the eyes.

Patients and methods: Since 1997, 33 patients with blepharophimosis syndrome have been operated on for correction of palpebral ptosis and epicanthal fold. One of the main deformity of blepharophimosis syndrome is blepharoptosis which is corrected with suspension of the eyelid to the eyebrow using temporalis fascia grafts. Double opposing Z plasty application on the medial corner of the eye corrects both epicanthus inversus and telecanthus.

Results: Eyelid ptosis correction using the galea grafts provide satisfactory results and without relaps. 30 cases of ptosis had been corrected with satisfactory results; three patient had been operated on for secondary revisions. Double opposing Z plasties are superior to the other correction alternative methods for epicantus inversus . In this study, all epicanthal folds were corrected with satisfactory results.

Conclusion: Structural deformities of the Blepharopnimosis syndrome should be corrected for aesthetic concerns. Eyelid ptosis must be corrected as soon as possible after the birth for avoiding the vision loss which called ambliopia.