Modified Epiblepharon Repair Preserving Orbicularis Oculi Muscle

Figure 1

Preoperative classification of the lower lid epiblepharon according to the skin fold height: (a) The highest line of the horizontal skin fold below the lower lid margin was graded as class I, on the lower lid margin without concealment of the lid margin was graded as class II, above the lower lid margin with concealment of less than the medial one-third of the lid margin was graded as class III, and above the lower lid margin and concealing more than the medial one-third of the lid margin was graded as class IV. The grading of the cilia-corneal touch: (b) The cilia-corneal touch was class I if it was touching less than the medial one-third of the cornea; class II, less than the medial two-thirds of the cornea; class III, more than two-thirds of the cornea.

(a)

(b)