Spastic eversion of the upper eyelids

Mayo Clinic Proceedings
|February 1, 1976
PubMed

Insights

Eyelid eversion in an infant, possibly linked to measles conjunctivitis, resolved with facial akinesia and lid sutures. Orbicularis oculi muscle spasm is implicated in this rare pediatric eyelid disorder.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Clinical Case Study

Background:

  • Eyelid eversion is a rare condition in infants, characterized by the outward turning of the eyelid margin.
  • The exact pathophysiology of infantile eyelid eversion is not fully understood, but contributing factors are being investigated.

Observation:

  • A 2-year-old Nigerian infant presented with upper eyelid eversion following a presumed measles conjunctivitis episode.
  • The eversion recurred despite conservative management, including patching and taping of the affected eyelid.

Findings:

  • Successful resolution of eyelid eversion was achieved through facial akinesia and the placement of lid sutures.
  • The case highlights the significant role of orbicularis oculi muscle spasm in the pathophysiology of this condition.

Implications:

  • This case suggests that interventions targeting orbicularis oculi muscle activity may be effective in managing infantile eyelid eversion.
  • Understanding the interplay of etiological factors, including muscle spasm and preceding infections, is crucial for effective treatment strategies in pediatric ophthalmology.

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