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Variations in the degree of epiblepharon with changes in position and induction of general anesthesia

Authors
 Soolienah Rhiu ; Jin Sook Yoon ; Sang Yeul Lee ; Su Yan Zhao 
Citation
 Graefes Archive for Clinical and Experimental Ophthalmology, Vol.251(3) : 929~933, 2013 
Journal Title
 Graefes Archive for Clinical and Experimental Ophthalmology 
ISSN
 0721-832X 
Issue Date
2013
Abstract
BACKGROUND: To investigate the changes of epiblepharon by evaluating the severity of epiblepharon before and after induction of general anesthesia. METHODS: Sixty-three pediatric patients (126 eyes) underwent surgery for epiblepharon between April 2008 and September 2008 (35 females, 28 males; average age: 4.74 years). The severity of epiblepharon in each eye was scored according to skin-fold height (scored 1-4) and area of ciliocorneal touch (scored 1-3) while the patient was in upright and supine positions before induction of general anesthesia and in supine position after induction of anesthesia. RESULTS: The severity of epiblepharon was significantly reduced by a positional change to supine position and induction of general anesthesia. Skin-fold height scores decreased when patients were moved from upright (estimated mean ± standard error [SE]; 2.98 ± 0.08) to supine position (2.63 ± 0.09) (P < 0.001) prior to induction of anesthesia, and decreased further after induction of general anesthesia (2.12 ± 0.08) (P < 0.001). Ciliocorneal touch scores also decreased after patients were moved to supine position and after induction of general anesthesia (upright: 2.17 ± 0.05; supine: 1.95 ± 0.06; general anesthesia: 1.64 ± 0.07, P < 0.001). CONCLUSIONS: Our study demonstrates that positional changes and general anesthesia using muscle relaxants affect the degree of epiblepharon. Surgeons should be aware of these variations for operative planning of epiblepharon.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/86587
DOI
10.1007/s00417-012-2186-2
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
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Link
 http://link.springer.com/article/10.1007%2Fs00417-012-2186-2
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