Sex-Specific Effect of Obesity on Epiblepharon in Different Age Groups: A Case-Control Study

Wang, Jin-Jhe; Lai, Chia-Yun; Kuo, Ting-Yu; Lin, Meng‐Hung; Chen, Chau-Yin

doi:10.3390/ijerph191912839

Cited by 2 publications

(9 citation statements)

References 31 publications

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“…Epiblepharon is a congenital ocular condition seen primarily in Asian children where the pretarsal orbicularis and overlying skin rotate the eyelid margin and cause the eyelashes to touch the cornea. 124,125 The incidence of epiblepharon among Asian children is 46% in infants with a decrease to 2% in children ages 13-18 years. [124][125][126] Similarly, obesity has been linked to epiblepharon.…”

Section: Epiblepharon and Entropionmentioning

confidence: 99%

“…124,125 The incidence of epiblepharon among Asian children is 46% in infants with a decrease to 2% in children ages 13-18 years. [124][125][126] Similarly, obesity has been linked to epiblepharon. In obese children, excessive subcutaneous fat in the face is the proposed mechanism for epiblepharon.…”

Section: Epiblepharon and Entropionmentioning

confidence: 99%

“…Specifically, females are prone to increased subcutaneous adipose tissue in response to hormonal changes during puberty and adolescent years which could exacerbate epiblepharon development. 125 An association exists between obesity and recurrent lower lid entropion. 17,121,125 Mechanical entropion is a rare complication of morbid obesity.…”

Section: Epiblepharon and Entropionmentioning

confidence: 99%

“…In obese children, excessive subcutaneous fat in the face is the proposed mechanism for epiblepharon. 124125…”

Section: Eyelid Associationsmentioning

confidence: 99%

Section: Eyelid Associationsmentioning

confidence: 99%

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The Overweight and Obese Patient in Oculofacial Plastic Surgery: A Narrative Review

Rana¹,

Clabeaux

Patadia³

et al. 2023

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: The oculofacial plastic surgeon will more frequently encounter challenges related to overweight and obese patients as the incidence rises. There is a paucity of data in the oculofacial plastic surgical literature regarding this topic. The goal of this review is to detail the role obesity plays in the perioperative course and the considerations for a surgeon treating this patient population. Methods: The authors conducted a computerized search using PubMed, Embase, and Google Scholar. The search terms used were “(obesity OR overweight) AND surgery,” “(obesity OR overweight) AND oculoplastic,” “(obesity OR overweight) AND oculofacial,” “(obesity OR overweight) AND ‘facial plastic surgery’, ” “(obesity OR overweight) AND ‘bariatric surgery’, ” “(obesity OR overweight) AND (pre-operative OR post-operative OR intraoperative,” “ (obesity OR overweight) AND complications,” “(obesity OR overweight) AND (facial plastic surgery) AND complications),” “(obesity OR overweight) AND eyelid,” “(obesity OR overweight) AND (nasolacrimal OR ‘nasolacrimal duct’),” “(obesity OR overweight) AND IIH,” “(obesity OR overweight) AND exophthalmos.” Results: A total of 127 articles, published from 1952 to 2022 in the English language or with English translations were included. Articles published earlier than 2000 were cited for foundational knowledge. References cited in the identified articles were also used to gather further data for the review. Conclusions: Overweight and obese patients pose specific challenges that the oculofacial plastic surgeon should be aware of to better optimize patient outcomes. Multiple comorbidities, poor wound healing, and nutritional deficits all contribute to the complications experienced in this patient population. Further investigation on overweight and obese patients is needed.

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