Surgical strategy for congenital blepharophimosis syndrome

Background So far,most of the surgical techniques for congenital blepharophimosis syndrome are two-stage procedures.In this study,we investigated a modified one-stage procedure to reduce the suffering of patients. Methods From 2003 to 2005,we adopted an one-stage technique combining blepharoptosis correction with medial canthoplasty in 16 patients with congenital blepharophimosis syndrome(10 male,6 female;aged from 6 to 21).All the patients had bilateral severe blepharoptosis,epicanthus inversus,and flat dorsum nasi.The movement of the upper lid was 0 to 3 mm,vertical length of the eye fissure 2 to 4 mm,horizontal length 13 to 22 mm,and the distance between the eyes was 35 to 39 mm.The patients were followed up for one half to 2 years after the operation. Results In all the patients,after the operation,the horizontal length of the eyelid25 mm,the vertical length6 mm. and the distance between the eyes35mm.The appearance of their double eyelids was satisfying. Conclusion The modified one-stage technique combining blepharoptosis correction with medial canthoplasty can achieve favorable outcomes for patients with congenital blepharophimosis syndrome. Chin Med J 2007;120(16):1413-1415