The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Blepharophimosis

Photo by Professor Chua Chung Nen

This teenager is self-conscious of his facial appearance which is typical of blepharophimosis. He underwent bilateral frontalis suspension 10 years ago with fascia lata. The eyelid contours are poor due to poor placement of the materials and the small palpebral fissures were not addressed at the time.  Reconstruction will involve bilateral medial canthoplasty to lengthen the palpebral fissures followed by reconstruction of the upper eyelid contours at a later stage. A similar case can be found in this site.

 

Poor eyelid contours with telecanthus and small palpebral fissures.

 

Lateral scar on the tight where fascia lata was harvested.

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