Comparing the effectiveness of two surgical techniques for treating lower lid epiblepharon in children: a randomized controlled trial

A multicenter randomized controlled trial was conducted to compare the effectiveness of incisional and nonincisional surgical techniques for treating lower lid epiblepharon in children. The study included 89 eyes from 50 children aged 3–15 years (mean, 7.5 ± 2.4 years) with moderate lower lid epible...

Full description

Saved in:
Bibliographic Details
Published in:Scientific reports 2023-04, Vol.13 (1), p.5857-5857, Article 5857
Main Authors: Takeuchi, Masaki, Matsumura, Nozomi, Ohno, Tomoko, Fujita, Takeshi, Asano, Mizuki, Mizuki, Nobuhisa
Format: Article
Language:English
Subjects:
692/699/3161/3164
692/699/3161/3166
Astigmatism
Child
Children
Clinical trials
Cornea
Eyelashes
Humanities and Social Sciences
Humans
Keratitis
multidisciplinary
Patients
Retrospective Studies
Science
Science (multidisciplinary)
Statistical analysis
Surgery
Surgical techniques
Surgical Wound
Treatment Outcome
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A multicenter randomized controlled trial was conducted to compare the effectiveness of incisional and nonincisional surgical techniques for treating lower lid epiblepharon in children. The study included 89 eyes from 50 children aged 3–15 years (mean, 7.5 ± 2.4 years) with moderate lower lid epiblepharon. Patients were randomly assigned to either incisional (modified Hotz procedure with lid margin splitting; 45 eyes of 25 patients) or nonincisional (44 eyes of 25 patients) surgery groups. Treatment outcomes and changes in astigmatism were evaluated 6 months after surgery. Incisional surgery provided a significantly higher percentage (77.8%) of well-corrected treatment results ( P  = 0.026; odds ratio, 2.88; 95% confidence interval, 1.07–8.22) than nonincisional surgery (55.4%). The mean change in astigmatism 6 months after surgery was − 0.24 ± 0.42 and − 0.01 ± 0.47 D in the incisional and nonincisional surgery groups, respectively. The improvement in astigmatism was significantly higher in the incisional surgery group than in the nonincisional surgery group ( P  = 0.008). The incisional surgical treatment for moderate epiblepharon in children resulted in a higher number of well-corrected patients, indicating an absence of both ciliary touch and superficial keratitis as well as statistically significant improvements in astigmatism correction.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-023-32050-4