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Variations in the degree of epiblepharon with changes in position and induction of general anesthesia

  • Oculoplastics and Orbit
  • Published:
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Abstract

Background

To investigate the changes of epiblepharon by evaluating the severity of epiblepharon before and after induction of general anesthesia.

Methods

Sixty-three pediatric patients (126 eyes) underwent surgery for epiblepharon between April 2008 and September 2008 (35 females, 28 males; average age: 4.74 years). The severity of epiblepharon in each eye was scored according to skin-fold height (scored 1–4) and area of ciliocorneal touch (scored 1–3) while the patient was in upright and supine positions before induction of general anesthesia and in supine position after induction of anesthesia.

Results

The severity of epiblepharon was significantly reduced by a positional change to supine position and induction of general anesthesia. Skin-fold height scores decreased when patients were moved from upright (estimated mean ± standard error [SE]; 2.98 ± 0.08) to supine position (2.63 ± 0.09) (P < 0.001) prior to induction of anesthesia, and decreased further after induction of general anesthesia (2.12 ± 0.08) (P < 0.001). Ciliocorneal touch scores also decreased after patients were moved to supine position and after induction of general anesthesia (upright: 2.17 ± 0.05; supine: 1.95 ± 0.06; general anesthesia: 1.64 ± 0.07, P < 0.001).

Conclusions

Our study demonstrates that positional changes and general anesthesia using muscle relaxants affect the degree of epiblepharon. Surgeons should be aware of these variations for operative planning of epiblepharon.

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Authors and Affiliations

  1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Korea

    Soolienah Rhiu, Jin Sook Yoon & Sang Yeul Lee

  2. Department of Ophthalmology, The Third Hospital of Peking University, Beijing, China

    Su Yan Zhao

Authors
  1. Soolienah Rhiu
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  2. Jin Sook Yoon
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  3. Su Yan Zhao
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  4. Sang Yeul Lee
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Corresponding author

Correspondence to Sang Yeul Lee.

Additional information

None of the authors have any commercial or proprietary interests in the subject matter used in this article.

Authors have full control of all primary data, and we agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review our data if requested.

Registered in www.clinical trials.gov (No. NCT01650688).

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Rhiu, S., Yoon, J.S., Zhao, S.Y. et al. Variations in the degree of epiblepharon with changes in position and induction of general anesthesia. Graefes Arch Clin Exp Ophthalmol 251, 929–933 (2013). https://doi.org/10.1007/s00417-012-2186-2

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  • DOI: https://doi.org/10.1007/s00417-012-2186-2

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