Ibrar Hussain, Tajamul Khan.
Cosmetic outcome of Y-V medial canthoplasty in blepharophimosis syndrome.
J Coll Physicians Surg Pak Jan ;23(3):182-5.

Objective: To determine the cosmetic outcome of Y-V medial canthoplasty with medial canthal tendon shortening in Blepharophimosis syndrome. Study Design: Quasi experimental study. Place and Duration of Study: Department of Ophthalmology, Khyber Teaching Hospital, Peshawar, Pakistan, from June 2005 to April 2008. Methodology: Thirteen patients of Blepharophimosis syndrome aged 4 years and above were included in the study. Oculoplastic assessment including measurement of horizontal length of palpebral fissure, ptosis and intercanthal distance were done. All patients underwent Y-V medial canthoplasty with medial canthal tendon shortening by a single surgeon. Same measurements were repeated one week postoperatively and then 6 weeks after surgery and results compared with pre-operative findings. Results: Twenty six eyes of 13 patients were included in the study. Ten (77%) patients were female and 3 (23%) were male. Mean age of all patients was 13.54 ± 6.99 years with a range from 4 to 28 years. Mean horizontal length of palpebral fissure of all 26 eyes was 22.88 mm before surgery and increased to 26.77 mm after surgery. Vertical pre-operative and postoperative height of palpebral fissure was 5.69 mm and 5.34 mm respectively. Mean pre-operative intercanthal distance of 37.46 mm was reduced to 32.08 mm postoperatively. Epicanthus inversus which was present in all (100%) eyes before surgery was successfully treated in 22 (84.6%) eyes after surgery. Conclusion: Y-V medial canthoplasty with medial canthal shortening in Blepharophimosis syndrome has excellent cosmetic outcome.

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