AI Article Synopsis
- The study investigates the incidence and risk factors of severe corneal complications in patients with congenital lower eyelid epiblepharon, involving 509 patients and 933 eyes.
- Severe corneal issues were found in 5.9% of patients, primarily consisting of corneal scarring and vascularization.
- The analysis suggests that a higher body mass index may be a risk factor for these severe complications, while age and sex did not significantly influence their occurrence.
Article Abstract
Purpose: The study aims to examine an incidence and risk factors of severe corneal involvement in patients with congenital lower eyelid epiblepharon.
Methods: This retrospective, observational study included 509 patients (933 eyes) with congenital lower eyelid epiblepharon. Data on age, sex, affected side, past history, past surgery, presence or absence of concomitant periocular/ocular diseases, body height and weight, astigmatic power, and corneal involvement were collected. Severe corneal involvement included corneal scarring, vascularization, and perforation.
Results: Severe corneal involvement was found in 30 patients (5.9%) (34 eyes, 3.6%). Corneal scarring and perforation with scarring were shown in 29 patients (33 eyes) and 1 patient (1 eye), respectively. Nine patients (12 eyes) demonstrated concomitant corneal vascularization with corneal scarring. Logistic regression analysis showed that body mass index had an odds ratio of 1.057 (P = 0.078). Age and sex did not affect occurrence of severe corneal involvement (P > 0.050).
Conclusions: In this study, 5.9% of patients showed severe corneal involvement in congenital lower eyelid epiblepharon. Logistic regression analysis indicates that a high body mass index was a possible risk factor of severe corneal involvement caused by congenital lower eyelid epiblepharon.
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| http://dx.doi.org/10.1007/s00417-022-05945-7 | DOI Listing |
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