PT  - JOURNAL ARTICLE
AU  - Stephanie M Young
AU  - Yoon-Duck Kim
AU  - Kyung In Woo
TI  - Modified everting sutures: an alternative treatment for mild to moderate epiblepharon
AID  - 10.1136/bjophthalmol-2017-311683
DP  - 2018 Nov 01
TA  - British Journal of Ophthalmology
PG  - 1510--1514
VI  - 102
IP  - 11
4099  - http://bjo.bmj.com/content/102/11/1510.short
4100  - http://bjo.bmj.com/content/102/11/1510.full
SO  - Br J Ophthalmol2018 Nov 01; 102
AB  - Purpose To describe a modified everting suture procedure which can be used in patients with mild to moderate epiblepharon who are undergoing general anaesthesia for surgical correction of coexisting ophthalmic conditions.Methods A prospective, interventional, non-comparative case series on patients with mild to moderate epiblepharon who underwent the modified everting suture procedure using permanent nylon sutures while under general anaesthesia for other ophthalmic surgery, from May 2014 to May 2016, in a single tertiary institution. Main outcome measures were correction of epiblepharon, recurrence rate and complications.Results There were a total of 29 patients. Mean age was 5.7±4.1 years (range 1.5–20 years). Twenty (69.0%) were male, 31.0% were female. All had concomitant surgery under general anaesthesia for levator resection (75.9%), frontalis sling (17.2%), strabismus surgery (3.4%) and coloboma correction (3.4%). Mean follow-up was 18.1±9.1 months. All patients were well corrected at 1 and 6 months postoperative follow-up. At 1 year after surgery, 28 (96.6%) were well corrected while one patient (3.4%) was undercorrected. At last follow-up, the overall recurrence rate was 6.9%, with a mean time from surgery to recurrence of 20.5 months. There were no complications encountered.Conclusions The modified everting suture procedure is a safe, effective, quick and relatively easy procedure for selected patients with mild to moderate epiblepharon, who are undergoing general anaesthesia for surgical correction of their coexisting ophthalmic conditions.