MAR 22, 2017
3rd Annual Global Video Contest
Blepharophimosis, ptosis, epicanthus inversus syndrome (BPES) is a rare autosomal dominant condition characterized by typical eyelid malformations—blepharophimosis, ptosis, epicanthus inversus and telecanthus. Correction of epicanthus and telecanthus can be done by C-U plasty with medial canthal tendon plication, moving the medial canthus medially. Combined with lateral canthoplasty, this can provide a 6-8 mm widening of HPF. Ptosis can be corrected in stage 2 with a tarsofrontal sling. This staged procedure, when performed with meticulous preoperative measurements, can give excellent results in BPES.