Types of eyelid malformations.
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Epiblepharon is a common eyelid disorder in children characterized by an abnormal fold of the eyelid where the eyelashes turn inward causing irritation of the ocular surface.
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Euryblepharon is distinguished by an enlargement of the horizontal palpebral fissure associated with enlarged eyelids.
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Ectropion is a congenital deformity, with a lack of skin on the eyelids, sometimes associated with a degree of ptosis.
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Congenital eyelid retractions affect either the lower or upper eyelid and are often associated with craniofacial syndromes.
Traditional management includes medical therapy (lubricants, contact lenses, eyelid taping) with the risk of inducing amblyopia, and invasive surgical approaches, including lateral tarsorrhaphy, myocutaneous advancement of the cheek and eyelids, and/or full-thickness skin graft to the affected eyelid, with poor aesthetics and long recovery time.
Hyaluronic acid offers the ability to adjust the position of the eyelid and add the necessary volume, maximizing functional capacity and avoiding the risks of surgical intervention with a faster recovery.
The results are immediate and complications are minimal, which generates high subjective patient satisfaction.
Hyaluronic acid is a simple, non-surgical and reversible option that can avoid the need for surgery for eyelid malformations in selected cases.
SCIENTIFIC EVIDENCE
* MN Naik, MJ Ali, S Das. Nonsurgical management of epiblepharon using hyaluronic acid gel. Ophthalmic Plast Reconstr Surg. 2010;26:215-7.
* M Taban, R Mancini, T Nakra. Nonsurgical management of congenital eyelid malpositions using hyaluronic acid gel. Ophthalmic Plast Reconstr Surg. 2009;25:259-63.
* MT Yen, LM Lucci, RL Anderson. Management of eyelid anomalies associated with blepharo-cheilo-dontic syndrome. Am J Ophthalmol. 2001;132:279-80.
* R Mancini, NM Khadavi, RA Goldberg. Nonsurgical management of upper eyelid margin asymmetry using hyaluronic acid gel filler. Ophthalmic Plast Reconstr Surg. 2011;27:1-3.
* JC Bladen, R Malhotra. Reporting outcomes of hyaluronic gel filler as a treatment for epiblepharon. Graefes Arch Clin Exp Ophthalmol. 2019;257:2769-73.