Page 36 - Plasticos-Vol-3

8. An increased inner canthal distance
- Telecanthus.
9. Cranial nerve and facial examination
reveals normal.
10. Menstrual cycle is normal.
11. Vitals & other systemic examination
are unremarkable.
12. USG abdomen & gynecological eval
uation are normal

So, our diagnosis was -
Fig. 2 ( markings)
Blepharophimosis Ptosis Epicanthus
Inversus Syndrome (BPES) – Type 2.
1. Asian Blepharoplasty.
Treatment Planning was done after proper 2. Medial Canthoplasty – Hornblas C-U
discussion with patient in the following way Plasty.
– 3. Lateral Canthoplasty.
Single stage correction under Local 4. Telecanthus Correction.
Anaesthesia.

Pre-operative Markings, Measurement & final assessment :
Table 1.[3]

[Fig. 2]

Measurement Normal asian eye ( Patient’s eye
(In primary gaze) Approx median value) (Bilateral symmetrical)

Intra-pupillary 60Mm 70Mm
Distance(ipd)

Inter-canthal 32.5Mm 45Mm
Distance(icd)

Horizontal palpebra 30Mm 20Mm
Fissure length

Medial limbus to medial 15Mm 9Mm
Canthal distance
Lateral limbus to lateral 15Mm 11Mm
Canthal distance

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