J Korean Ophthalmol Soc > Volume 58(2); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(2):192-196.
DOI: https://doi.org/10.3341/jkos.2017.58.2.192    Published online February 15, 2017.
Relationship between Palpebral Fissure Height and Corneal Astigmatism of Epiblepharon.
Jinsoo Kim, Hyo Sung Yoon, Joo Yeon Lee
1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. kimleejy@hallym.or.kr
2Korea Doctor Lee's Eye Clinic, Suwon, Korea.
덧눈꺼풀 환아에서 눈꺼풀 틈새의 수직길이와 각막 난시와의 관계
김진수1⋅윤효성2⋅이주연1
한림대학교 의과대학 한림대학교성심병원 안과학교실1, 수원이안과의원2
Correspondence:  Joo Yeon Lee,
Email: kimleejy@hallym.or.kr
Received: 13 October 2016   • Revised: 30 November 2016   • Accepted: 10 January 2017
Abstract
PURPOSE
To study the effect of plapebral fissure height on astigmatism in epiblepharon patients. METHODS: The study consisted of 68 eyes of 34 patients who were diagnosed with epiblepharon and 88 eyes of 44 patients who had normal eyelids from September 2012 to July 2013. Data on palpebral fissure height and refractive errors were compared between the epiblepharon group and the control group. Epiblepharon patients were further divided into two subgroups depending on the degree of preoperative corneal erosion in order to study the effects of corneal erosion on corneal astigmatism. RESULTS: The mean age was 5.6 ± 2.2 years in the epiblepharon group and 6.1 ± 1.5 years in the control group (p = 0.339). The mean astigmatism was 2.28 ± 1.54 D in the epiblepharon group and 0.91 ± 1.07 D in the control group. The epiblepharon group showed higher astigmatism than the control group (p < 0.001). The mean palepebral fissure height was 6.70 ± 1.19 mm in the epiblepharon group and 7.63 ± 1.06 mm in the control group. The epiblepharon group exhibited smaller palpebral fissure height than the control group (p < 0.001). In the palpebral fissure height subgroups of the epiblepharon group, the <7.0 mm group showed higher astigmatism than the ≥7.0 mm group (p = 0.026). Higher astigmatism was associated with smaller palpebral fissure height (p = 0.022). CONCLUSIONS: Patients with epiblepharon had significantly higher corneal astigmatism, and higher astigmatism was associated with smaller palpebral fissure height.
Key Words: Astigmatism;Corneal erosion;Epiblepharon;Palpebral fissure height


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