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Congenital upper eyelid retraction
Journal of Pediatric Ophthalmology
|November 11, 1976
Insights
A congenital unilateral upper eyelid retraction caused exposure keratopathy in a child. Surgery revealed levator muscle restriction, suggesting intrauterine inflammation as a potential cause.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Oculoplastics
Background:
- Congenital unilateral upper eyelid retraction can lead to complications like exposure keratopathy.
- Lagophthalmos, the inability to close the eyelid completely, was noted.
- The affected eyelid fissure was 4 mm larger than the unaffected side.
Abstract:
This report describes a six-year-old boy born with a unilateral upper eyelid retraction resulting in mild exposure keratopathy. The fissure on that side was 4 millimeters larger and lagophthalmos was present. At the time of levator recession surgery, the muscle was found to have a restriction at the medial and lateral horns preventing downward excursion. This condition has some of the features of congenital orbital fibrosis and is postulated to have been due to an intrauterine infection or inflammation.