Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4637
Peer-review started: April 8, 2021
First decision: April 28, 2021
Revised: May 7, 2021
Accepted: May 19, 2021
Article in press: May 19, 2021
Published online: June 26, 2021
Children with congenital glaucoma are often accompanied by acquired epiblepharon in the lower eyelid, which causes entropion of the lower eyelid and damages the cornea. Few studies have evaluated the ocular axis and corneal diameter of acquired epiblepharon in patients with congenital glaucoma.
Acquired epiblepharon in patients with congenital glaucoma could affect the development of vision and quality of life. Children with congenital glaucoma are easy to accompany with acquired epiblepharon.
This study aimed to infer the possible causes of lower eyelid entropion by comparing the difference of ocular axis and corneal diameter between inverted and non-inverted ciliary eyes in children with congenital glaucoma.
A total of 15 patients, including five with bilateral glaucoma and ten with unilateral glaucoma, only had one eye with lower eyelid entropion associated with congenital glaucoma. Main outcome measures were the ocular axis and corneal diameter.
The average ocular axis of congenital glaucoma eyes with lower eyelid entropion was 24.86 ± 3.44 mm and without lower eyelid entropion was 20.79 ± 1.34 mm. The average corneal diameter of congenital glaucoma eye with lower eyelid entropion was 13.61 ± 0.88 mm and without lower eyelid entropion was 11.63 ± 0.48 mm.
The rapid growth of ocular axis and corneal diameter may be the main cause of congenital glaucoma with acquired lower eyelid entropion.
Children with poor control of intraocular pressure and excessive growth of the ocular axis and corneal diameter must be observed for the existence of acquired epiblepharon. This study was limited by its size. A prospective study with a large sample size and long-term follow-up is needed.