[Correction of blepharophimosis with a temporal periosteal flap].

OBJECTIVE

To Provide a dependable and effective method for the treatment of blepharophimpsos.

METHODS

In Blaskovics canthoplasty, a periosteum flap raised from the lateral orbit margin was turned over and fixed to the end of superiou tarsur. The operation was performed on 11 patients (13 lids), with blepharophimosis. Of whom 8 patients (8 lids) were serious blepharophimosis associated with cryptophthalmus or hollow socket; 3 patients (5 lids) were moderate. The epicanthus in 3 cases (4 lids) was corrected by Spaeth's technique.

RESULTS

The follow-up period was 10.5 months in average. 10 lids of blepharophimosis were cured; 2 were improved significantly and 1 improved. No severe complications were found.

CONCLUSIONS

The periosteal flap acts not only as a palpebral supporting tissue but also forms lateral ligament. The corrective effects of this method for blepharophimosis are fairly good.