
Corneal astigmatism significantly improved following both incisional and nonincisional pediatric epiblepharon surgeries. In a study of 89 eyes from 50 children, the incisional group showed a greater reduction in corneal astigmatism (−0.34 ± 0.96 D, p = 0.012). Both surgical methods enhanced corneal surface smoothness, refractive power variability, and irregular astigmatism. Additionally, suspicion of keratoconus decreased postoperatively, with a higher preoperative KSI positivity rate in some patients.
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