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Conservative management in congenital bilateral upper eyelid eversion

Viola Andin Dohvoma1, Alice Nchifor2, Aronette Nana Ngwanou1

  • 1Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Case Reports in Ophthalmological Medicine
|May 12, 2015
PubMed

Insights

Congenital bilateral upper eyelid eversion in a neonate resolved with conservative treatment. This rare condition, characterized by severe chemosis, typically shows a good prognosis with prompt, non-invasive care.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Pediatric Surgery

Background:

  • Congenital upper eyelid eversion is a rare condition presenting at birth.
  • Severe chemosis can complicate this presentation, posing a risk to ocular health.
  • Prompt diagnosis and management are crucial for favorable outcomes.

Purpose of the Study:

  • To present a case of congenital bilateral upper eyelid eversion with severe chemosis.
  • To highlight the successful conservative management of this condition.
  • To emphasize the importance of awareness among healthcare professionals.

Main Methods:

  • A six-hour-old neonate with bilateral congenital upper eyelid eversion and severe chemosis was treated.
  • Conservative management involved antibiotic ointment application.
  • Exposed conjunctiva was padded with gauze soaked in 5% hypertonic saline.

Main Results:

  • The neonate's eyelids spontaneously reverted by day 3.
  • Complete resolution of the condition was observed within three weeks.
  • No surgical intervention was required.

Conclusions:

  • Congenital upper eyelid eversion is generally a benign condition.
  • Conservative treatment is effective and leads to favorable outcomes.
  • Increased awareness among healthcare providers is essential for timely recognition and management.

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