Research Article

Surgical Treatment of Epiblepharon Effectively Alleviates Keratopathy but Not Astigmatism: A Case-Control Study Utilizing Vector Analysis in East Asian Children

Table 1

Demographic data, symptoms, severity of keratopathy, and refractive status of the study population.

Children with epiblepharon value
Surgical treatment (91 eyes of 47 patients)Non-surgical treatment (67 eyes of 35 patients)

Mean ± SD, n (%)
Age (year)5.93 ± 2.765.87 ± 2.100.87
Sex (female)28 (59.6)16 (45.7)0.75
Severity of keratopathy (eyes)
 Grade 00 (0)0 (0)<0.001
 Grade 14 (4.4)58 (86.6)
 Grade 235 (38.5)6 (9.0)
 Grade 352 (57.1)3 (4.4)
Spherical equivalent (D)−0.58 ± 2.88−0.70 ± 2.900.78

Astigmatism
 Magnitude (D)2.22 ± 1.392.26 ± 1.460.87
 Vector J0 (D)0.97 ± 0.800.94 ± 0.860.83
J45 (D)0.05 ± 0.35−0.05 ± 0.440.14

 Type
  With-the-rule73 (80.2)55 (82.0)0.28
  Against-the-rule4 (4.4)6 (9.0)
  Oblique14 (15.4)6 (9.0)

SD, standard deviation; SE, spherical equivalent; D, diopter. Magnitude of astigmatism indicate the absolute value of cylinder power regardless of the axis. Thibos and Horner’s vector analysis method was used to represent the vector of astigmatism. .