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[Palpebral malformations in children]

C Jaloux1, T Malet2, V Duquennoy-Martinot3

  • 1Service de chirurgie plastique pédiatrique, hôpital Timone-Enfant, 264, rue Saint-Pierre, 13385 Marseille, France.

Annales De Chirurgie Plastique Et Esthetique
|August 23, 2016
PubMed

Insights

Palpebral malformations, eyelid abnormalities, require clinical assessment. Early intervention is crucial to prevent vision loss from complications like corneal irritation and amblyopia.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Clinical Genetics

Background:

  • Palpebral malformations present as isolated conditions or part of broader craniofacial syndromes.
  • Clinical examination is the primary diagnostic tool for these eyelid abnormalities.
  • Further investigations, including genetic testing, are vital for complex cases and associated pathologies.

Purpose of the Study:

  • To outline the diagnostic and management approach for palpebral malformations.
  • To highlight the importance of timely intervention and risk assessment in pediatric patients.
  • To emphasize the potential impact on visual development.

Main Methods:

  • Clinical assessment and examination of palpebral malformations.
  • Characterization of associated craniofacial syndromes through investigations.
  • Genetic testing for complex cases and extrapalpebral lesions.
  • Evaluation of potential risks to vision, including corneal irritation and amblyopia.

Main Results:

  • Management strategies vary from simple follow-up to specific, timed treatments.
  • Timing of intervention must consider growth and potential visual consequences.
  • Key risks identified are corneal irritation from lagophthalmos and amblyopia from visual axis obstruction, anisometropia, or strabismus.

Conclusions:

  • Palpebral malformations necessitate a tailored management plan based on clinical findings and associated conditions.
  • Proactive monitoring and treatment are essential to mitigate risks of vision impairment.
  • Genetic evaluation is indicated for complex presentations to guide diagnosis and management.

Keywords:
AmblyopiaAmblyopieCongenital malformationCraniofacial malformationEyelidMalformationMalformation congénitaleMalformation craniofacialePalpebralPalpébralePaupière

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