A Useful Guide: All You Need To Know About Epiblepharon

Epiblepharon is a common eye condition wherein the eyelashes and eyelids turn inward and rub on the cornea. Typically, epiblepharon affects those in the first two decades of life. If left untreated, it can result in substantial discomfort and even visual issues. The causes, symptoms, and treatment options of epiblepharon will all be covered in this article.



The condition is due to an excess of skin and muscle in the eyelids adjacent to the lash-bearing eyelid margin. This skin fold causes an in-turning of the eyelashes with resultant corneal abrasions. Epiblepharon is common in children of Oriental ethnicity and is more often seen in the lower eyelids. Both boys and girls are equally affected. Sometimes, both upper and lower eyelids are affected. It is not an inherited or genetic disorder.



Depending on the severity of the condition, there can be various symptoms of epiblepharon. While some individuals may only feel a little discomfort or even be asymptomatic, others might feel intense discomfort, redness, and itching in the affected eye. In extreme circumstances, the eyelashes may abrade the cornea and lead to corneal infections. Studies have also linked epiblepharon to the development of astigmatism.

Common symptoms of epiblepharon include:

  • Irritation and itching in the affected eye, leading to frequent eye rubbing
  • Blurred vision
  • Excessive tearing
  • Light sensitivity
  • Eye pain or discomfort
  • Redness of the eye
  • Swelling of the eyelid



Epiblepharon can be difficult to diagnose since its symptoms might be mistaken for those of blepharitis or allergic conunctivitis. An eye doctor will do a thorough eye exam, including a check of the eyelids and lashes, to identify the condition.


Treatment options

Epiblepharon can sometimes be left alone until the age of seven years as milder cases do resolve spontaneously as the child’s face matures. However, if the condition is severe or is seen to persist beyond 7 years of age, surgery has to be considered.

Excision of excess skin and muscle adjacent to the eyelid margin and outward rotation of the lashes allows epiblepharon surgery to eliminate the lash-corneal touch.. As with any surgical procedure, there will be a faint line where the surgical incision is made. This surgical wound, fortunately, heals very well and is often not visible after some time. In instances where the upper eyelid is involved, the surgeon is able to take the opportunity to create double eyelids during wound closure, adding to the benefits of this surgery.



In summary, epiblepharon is a common childhood condition that affects the eyelids and eyelashes, causing them to turn inward and rub against the cornea. It can cause significant discomfort, irritation, and even vision problems if left untreated.

In order to prevent vision issues and maintain optimal eye health, it is crucial to see an eye specialist doctor as soon as you notice any epiblepharon symptoms in yourself or your child.

Here at Ava Eye Clinic, we offer general ophthalmology and oculoplastic services for all ages. Book an appointment with our eye surgery doctor in Singapore today.

Note: Post-operative results in Singapore can only be viewed during a consultation