PMC3085162_01
(A,C) Preoperative pictures showing the lower lid epiblepharon and the attenuated lower lid crease. (B,D) The same patient 5 weeks after the lateral wall decompression with fat debulking showing relief of epiblepharon
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On examination, the patient was noted to have severe bilateral lower lid epiblepharon with lash-corneal touch and corneal erosions [Figure 1] and bilateral lower eyelid retraction. Two months after surgery, following resolution of periorbital swelling and bruising, the globes were retroplaced by 7 mm and 8 mm on the right and left sides respectively and the epiblepharon resolved [Figure 1].
(A,B) Coronal CT scan preoperativel and 2 months postoperatively. (C,D) Axial scan for pre and postoperative orbit, showing more lateral wall decompression in the left side
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An orbital computed tomography (CT) scan showed normal extraocular muscle dimensions, increased orbital fat with prolapse, and thick lateral orbital wall and marrow space with globe prolapse [Figure 2].