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A Novel Medial Canthal Reconstruction Technique in Children With Blepharophimosis Syndrome

Parvizi, Sahar B.M.B.Ch., M.A., F.R.C. Ophth*; Ong, Juling M.B.B.S., M.R.C.S. (Eng), F.R.C.S. (Plast); Abou Rayyah, Yassir Ph.D., F.R.C. Ophth, F.R.C.S. (Ed), F.R.C.S. (Glas)*,†; Dunaway, David MBChB., B.D.S., F.D.S.R.C.S., F.R.C.S. (Plast)

Ophthalmic Plastic & Reconstructive Surgery: September/October 2019 - Volume 35 - Issue 5 - p 506–508
doi: 10.1097/IOP.0000000000001390
Surgical Techniques

Purpose: There are different techniques for medial canthoplasty in blepharophimosis syndrome where individuals have epicanthus inversus and telecanthus leading to typical facial appearances. These methods have potential problems with scarring, epistaxis, and extrusion of metal plates.

Methods: The authors describe a novel technique of medial canthal reconstruction using titanium microplates with microscrew fixation to the anterior lacrimal crest, with effective, safe, and reproducible results.

Results: Seven children with blepharophimosis syndrome underwent medial canthus reconstruction surgery at a single center with the collaboration of a pediatric oculoplastic surgeon and craniofacial plastic surgeon to improve eye opening through correction of the lid contours and telecanthus.

Conclusions: This is a safe, effective, and reproducible technique, with minimal morbidity and rapid postoperative recovery in children. It produces cosmetically acceptable scars and a strong stable reconstruction of the medial canthal insertion.

The authors describe a safe and stable medial canthoplasty reconstruction method in children with blepharophimosis.

*Ophthalmology Department

Craniofacial Unit, Great Ormond Street Hospital, London, United Kingdom

Accepted for publication March 18, 2019.

The authors have no financial or conflicts of interest to disclose. The authors alone are responsible for the content and writing of the article..

The authors report no previous meeting presentation.

Address correspondence and reprint requests to Sahar Parvizi, M.A., F.R.C. Ophth, Ophthalmology Department, Great Ormond Street Hospital, London, WC1N 3JH. E-mail:

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.