How common is epiblepharon?

The prevalence of epiblepharon is about 10% in the paediatric population with predilection for the younger age groups. For some milder cases, the children are able to grow out of this condition as their facial structure matures. There is no gender difference in prevalence.

How do you fix epiblepharon?

Epiblepharon needs surgical treatment only when there are severe ocular irritating symptoms or significant keratitis, as it tends to disappear spontaneously with age. The object of surgical treatment is to make an adhesion between the anterior lamella of the eyelid and the lower eyelid retractors.

Is epiblepharon congenital?

Epiblepharon is a relatively common congenital anomaly and has to be distinguished from entropion, a rare congenital condition. Both cause trichiasis and irritation of the globe. Early surgery prevents severe ocular complications.

Do babies outgrow entropion?

Some children will grow out of this condition, so if the entropion is mild and the patient is monitored for ongoing damage to the surface of the eye, surgery may sometimes be avoided.

What is floppy eye syndrome?

Floppy eyelid syndrome (FES) is defined as eyelid hyperlaxity with reactive palpebral conjunctivitis. It is a common condition that can be associated with significant ocular irritation. FES presents with easily everted eyelids and chronic papillary conjunctivitis in the upper eyelids.

What is the difference between Epiblepharon and entropion?

Entropion is usually caused by genetic factors. This is different from when an extra fold of skin on the lower eyelid causes lashes to turn in towards the eye (epiblepharon). In epiblepharons, the eyelid margin itself is in the correct position, but the extra fold of skin causes the lashes to be misdirected.

What does Distichiasis mean?

Distichiasis is a rare disorder defined as the abnormal growth of lashes from the orifices of the meibomian glands on the posterior lamella of the tarsal plate (see following image).

Can entropion correct itself in dogs?

In adult dogs, permanent eyelid surgery can be performed to correct the abnormality by removing a section of tissue near the eyelid margin and/or shortening the eyelid. Over-correction of entropion can lead to complications and is difficult to fix.

Can entropion correct itself?

Artificial tears and lubricating ointments can help relieve symptoms of entropion. But usually surgery is needed to fully correct the condition. Left untreated, entropion can cause damage to the transparent covering in the front part of your eye (cornea), eye infections and vision loss.

How do you treat floppy eyes?

How is floppy eye syndrome treated?

1. Using a thick lubricating ointment at night.
2. Sleeping with a cylindrical pillow to minimize contact with the eye and the pillow at night.
3. Wearing a firm sleep mask or taping the eyelids down to prevent eversion (flipping).

What does floppy eyelid syndrome look like?

The syndrome is characterised by a triad of diffuse papillary conjunctivitis, a loose upper eyelid which everts readily (positive lid eversion sign), and a soft rubbery tarsus which may be folded on itself. It may be associated with lash ptosis, which usually involves lateral lashes of the upper eyelid.

Can entropion cause blindness?

Left untreated, entropion can cause damage to the transparent covering in the front part of your eye (cornea), eye infections and vision loss.

How can you tell if a child has Epiblepharon?

The diagnosis of Epiblepharon is clinical. It may be easily missed in early and mild disease in very young children especially when not looked for. In a symptomatic child, the presence of eyelashes against the cornea and conjunctival in any gaze is diagnostic of this disease.

Is there such a thing as congenital epiblepharon?

Typically, it is seen as a congenital or developmental condition. However Acquired Epiblepharon may be seen in east Asian children and adults following orbital conditions like Thyroid Eye Disease, and other causes of proptosis.

What kind of eyelid condition is epiblepharon?

Epiblepharon is commonly a developmental eyelid condition characterised by redundant anterior lamella, presenting as an abnormal horizontal skin fold overriding the eyelid margin, resulting in misdirected lashes towards the conjunctiva and cornea.

What kind of surgery is needed for epiblepharon?

The treatment of epiblepharon initially involves the lubricating eye drops and ointments. Many children outgrow this condition without surgery. Some children will need surgery to correct the condition. During surgery, an incision is made beneath the eyelashes on the lower eyelid, and the extra roll of skin is removed.