Epicanthus plastic surgery solves the problem of eyelashes rubbing against the cornea

This is an automatically translated article.

The article was professionally consulted with Specialist Doctor I Nguyen Thi Bich Nhi - Ophthalmologist - General Surgery Department - Vinmec Nha Trang International General Hospital.
Epicanthus surgery is an ophthalmic surgery that is capable of addressing eyelash rubbing against the cornea, often a complication of problems such as conjunctival scarring, arcuate contracture, and deformity of the ciliary cartilage. ..

1. Learn about Epicanthus surgery to shape the eye to treat entropion

1.1 Indications Epicanthus surgery is indicated for patients with entropion (eyelashes rubbing against the cornea) with the main cause coming from conjunctival scarring or eyelid cartilage deformity.
1.2 Contraindications In addition, Epicanthus ophthalmic surgery is contraindicated in the following cases:
Patients are suffering from serious eye infections such as purulent lacrimal sac, acute conjunctivitis, inflammation of the lacrimal gland. corneal ulcer, perforated corneal ulcer... The eyelid margin is deformed such as upturned eyelid, cleft eyelid... This condition will cause the failure of surgery. Therefore, in this group of subjects, patients need to have eyelid surgery combined with eye contouring.

2. How is Epicanthus surgery performed?

Step 1: The patient will be given local anesthesia at the surgical site.
Step 2: The surgeon will make an incision on the eyelid skin and expose the cartilage of the eyelid:
Incision of the skin of the eyelid: The incision will go through from the inner corner to the outside of the eyelid and parallel to the eyelid margin, about a distance from the eyelid margin. 2mm. After noticing the upper margin of the cartilage and the fascia, the doctor will separate the upper eyelid skin edge. When you see the shadow of the eyelash line, the lower eyelid skin edge will also be separated. Cartilage cutting: a horizontal blade will move from one corner of the eye to the other corner, the cut will be less than 2mm from the cartilage edge. Step 3: Carrying out suturing the eyelash cartilage
4 suture positions will be spaced evenly and the doctor will proceed to thread the needle from top to bottom, then thread the needle to the upper and lower half of the cartilage, followed by threading behind the base of the eyelashes and out to the skin. Finally, the two edges of the skin will be smoothed, so that the two halves of the cartilage are close together and each node is slightly tightened, completing the process of suturing the eyelid cartilage.
After performing eyelid cartilage sutures, the final step of the surgical procedure is skin sutures and eye bandages.

3. Notes in patient care before thread trimming

Patients will have their sutures removed about 5 days after Epicanthus surgery. During this time, the patient needs to be monitored for problems related to infection, blepharitis, excess crest...
Some activities to be performed include:
Change the eye patch daily, correct hygiene way. Take antibiotics to prevent infection.

4. What should be done to prevent the return of entropion?

After surgery, the patient needs to take a few steps to limit the entropion again:
Use physiological saline regularly to clean the eyes, wipe the eyes with a clean and personal towel, do not share with other people. When going out or working in a sunny, dusty environment... you need to use glasses to protect your eyes. Eye problems that can cause entropion should be treated definitively. The surrounding environment needs to be kept clean and fresh... It can be said that entropion is the main cause of eyelashes rubbing against the cornea and one of the best methods to overcome the above situation. the current time is Epicanthus surgery.

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