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Congenital upper lid eversion and severe chemosis in a new born
E A Awoyesuku1, C N Pedro-Egbe, O A Sibeudu
1Department of Ophthalmology, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
Nigerian Journal of Clinical Practice
|February 21, 2014
Summary
This case report details a rare condition of bilateral congenital upper eyelid eversion in a newborn. Conservative management led to complete resolution, highlighting effective treatment for this rare pediatric eye condition.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Neonatology
Background:
- Congenital upper eyelid eversion is a rare condition, more frequently observed in Black infants.
- This case presents a newborn with bilateral congenital upper eyelid eversion and significant conjunctival chemosis.
Observation:
- An 8-hour-old male infant presented with complete eversion of both upper eyelids and marked conjunctival chemosis.
- Ocular examination revealed healthy globes, corneas, and pupils, with no globe abnormalities.
Findings:
- The infant received conservative management including chloramphenicol ointment, ciprofloxacin eye drops, and hypertonic saline patches.
- After 9 days of treatment, conjunctival chemosis resolved, and eyelids returned to their normal position.
Implications:
- Conservative management can effectively resolve congenital upper eyelid eversion and conjunctival chemosis.
- This case underscores the importance of recognizing and managing this rare condition to prevent potential complications.
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