Sensory and motor function changes after surgery for epiblepharon
Reviewed by Fiona Rowe

In this study the authors investigate the effect of epiblepharon (EB) correction on motor and sensory function in children with EB and comorbid strabismus. Ninety eyes of 45 children were evaluated: mean age 6.8 ±2.9 years, 18 males, 27 females, nine with surgery on both upper and lower eyelids, five upper lid surgery only and 31 lower lid surgery only. All had bilateral surgery. Thirty children had a preoperative angle of deviation of <10PD (six had had previous strabismus surgery) and 15 children had significant strabismus >12PD at the time of EB surgery. Overall, uncorrected visual acuity was 0.24 ±0.25 logMAR preoperatively. Postoperatively, there was no change in angle of deviation. However, uncorrected visual acuity significantly improved to 0.12 ±0.15 logMAR and both best corrected visual acuity and stereoacuity also significantly improved. The authors conclude that EB surgery improves visual acuity and sensory function in patients with comitant strabismus but with no motor change. They recommend EB surgery before strabismus surgery.

Sensory function of children with strabismus after epiblepharon surgery.
You H, Lew H.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2024;61(4):257–61.