The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
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Epiblepharon with
eyelash misdirection
Photo by Professor Chua Chung Nen
A 5-year-old girl
presented with a 6-month history of .progressive right eyelid closure and
tearing. Examination showed an unhappy girl with spasm of the right eye.
There was eyelash misdirection as a result of epiblepharon. The cornea
showed puntate keratitis. She was given chloramphenicol ointment and
underwent an early epiblepharon correction. The surgery involved removing an
eclipse of skin together with orbicularis oculi to evert the eyelashes.
Post-operatively, she was able to open her eye fully and the keratitis
resolved.
Right epiphora and blepharospasm as
a result of eyelash misdirection causing corneal abrasion.
The right eye was photophobic due
to keratitis.
4-day post-epiblepharon correction.
The eyelashes were everted. The wound was closed with
6/0 vicryl sutures and their
removal were not required.
