Changes in Clinical Features of Epiblepharon before and after the COVID-19 Pandemic
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3341/jkos.2025.66.2.81
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Hyun Je SEONG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Ga Hyun LEE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Journal of the Korean Ophthalmological Society
	            		
	            		 2025;66(2):81-85
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Purpose:This study compares the clinical features of children who underwent Hotz’s operation for epiblepharon before and after the COVID-19 pandemic focusing on body mass index (BMI). 
				        	
				        
				        	Methods:We retrospectively reviewed the randomized charts of 976 children diagnosed with epiblepharon who underwent Hotz’s operation in our hospital from March 2016 to December 2022. Patients were divided into two groups: those who underwent surgery from March 2016 to December 2019 (before the pandemic, group 1) and those who had it from August 2020 to December 2022 (after the pandemic, group 2). Patients were further categorized into age groups (0-2, 3-5, 6-8, 9-11, and 12-14 years) for comparison of clinical features. 
				        	
				        
				        	Results:Groups 1 and 2 included 714 and 262 patients, respectively. In group 2, BMI was significantly higher in the 6-8 and 9-11 groups and skin fold height was also higher. 
				        	
				        
				        	Conclusions:In regard to clinical features, BMI was greater after the COVID-19 pandemic in children aged 6–11 years, and skin fold height was higher across all age groups. These changes are likely due to lifestyle modifications associated with the pandemic.