This study is to report the surgical outcome of lower lid epiblepharon repair with skin-only resection using a newly designed incision line. A retrospective, noncomparative, interventional case series analysis of 134 eyes of 67 patients, who underwent surgical correction of lower lid epiblepharon with skin-only resection using the new incision design, was performed. After marking the 4 vertical lines at the medial canthus, punctum, midpoint, and lateral canthus, the upper and lower incision lines were drawn from the medial canthus through punctum to the lateral canthus with novel design. After incising the skin along the marked line, gentle dissection of the skin flap from the underlying orbicularis muscle was performed. Only skin flap was excised and closed. The patients were followed up for more than 6months. The mean age of patients was 7.9 ± 3.7 years (range 4-13 years) and the mean follow-up period was 18.0 ± 5.7 months (range 13-31 months). During the follow-up period, recurrence of the epiblepharon was not observed. There was no occurrence of complications such as lower lid ectropion or retraction. Skinonly resection using a newly designed incision line is a simple and effective method to fully correct the medial portion of the lower lid epiblepharon and prevent dog-ear formation or overcorrection at the lateral portion, and prominent lid crease.

Purpose: To evaluate the effect of prophylactic 360-degree barrier laser photocoagulation (BLP) for prevention of retinal detachment during pars plana vitrectomy (PPV) for dropped lens fragments during cataract surgery. Methods: This retrospective analysis divided 94 eyes of 94 patients who underwent PPV for dropped lens fragments during cataract surgery between January 2014 and December 2019, into 360° BLP and control groups. The baseline characteristics and the risk of postoperative retinal detachment were analyzed and compared between the groups. Results: During PPV, the treatment group of 360° BLP comprised 62 eyes of 62 patients, and the control group without laser treatment was 32 eyes of 32 patients. At 12 months after PPV, the 360° BLP group showed significant reduction (0%, 0/62 eyes) in the incidence of retinal detachment after vitrectomy compared with the control group (9.3%, 3/32 eyes) (p = 0.037). Retinal detachment after PPV was related with severe corneal edema (p = 0.007) or no performance of 360° BLP (p = 0.025). In the order of importance, factors affecting retinal detachment were corneal edema (β = -0.470) and 360° BLP (β = -0.300). Conclusions: Prophylactic 360° BLP during PPV for dropped lens fragments in the vitreous during cataract surgery significantly reduced the incidence of retinal detachment after surgery, and this preventive laser treatment is expected to be useful, especially if corneal edema is severe before surgery.