Purpose: To document the use of a transconjunctival approach to lower eyelid epiblepharon repair.
Materials and methods: Retrospective chart review of all patients who underwent transconjunctival lower eyelid epiblepharon repair.
Results: Nine patients underwent repair via this approach. All patients experienced the resolution of their keratitis and cilia-cornea touch by a 3-month postoperative interval, and no patient developed a postoperative complication. Furthermore, no patient developed cutaneous scarring.
Conclusions: Conventional approaches to lower eyelid epiblepharon repair have necessitated the creation of a skin and muscle flap, thus risking the development of scarring and a cosmetically unacceptable eyelid crease. This report documents the use of a transconjunctival approach for the management of this condition that avoids external incisions and provides excellent outcomes without scarring of the anterior lamella of the eyelid.