Dr.Abhilasha Maheshwari, Dr.Sonal Chaugule, Dr. RAKSHA RAO, Dr.Santosh G Honavar
Purpose: To demonstrate the surgical techniques to widen horizontal palpebral fissure (HPF) in blepharophimosis. 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 6-8 mm widening of horizontal palpebral fissure. Ptosis can be corrected in stage 2 with tarsofrontal sling. This staged procedure, when performed with meticulous preoperative measurements can give excellent results in BPES. This video demonstrates important steps in evaluation and surgical management of BPES.