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Congenital Bilateral Eyelid Eversion and Chemosis: A Case Study
Insights
Congenital bilateral eyelid eversion, a rare condition, can be successfully managed conservatively. This case highlights effective non-surgical treatment for eyelid eversion and chemosis in a newborn.
Area of Science:
- Ophthalmology
- Neonatology
- Genetics
Background:
- Congenital bilateral eyelid eversion is a rare condition presenting at birth, primarily affecting the upper eyelids.
- Higher incidence observed in Black males, infants with trisomy 21, and collodion infants.
- Pathogenic mechanisms underlying this condition are not fully understood.
Observation:
- A late preterm female infant presented with congenital bilateral eyelid eversion and significant chemosis.
- The condition affected both upper eyelids.
Findings:
- Conservative management, including eye patching and topical treatments, led to successful resolution.
- Successful resolution of both eyelid eversion and chemosis was achieved without surgical intervention.
Implications:
- Conservative management is a viable and effective treatment option for congenital eyelid eversion with chemosis.
- This case expands understanding of management strategies for this rare neonatal condition.
- Highlights the importance of considering conservative approaches in managing neonatal eyelid abnormalities.
Abstract:
This case reports the findings and management of a late preterm female infant born with congenital bilateral eyelid eversion with chemosis. The pathogenic process remains unknown but typically presents at birth, predominantly affecting the upper eyelid of both eyes. Black males, patients with trisomy 21, and collodion infants have a higher incidence of eyelid eversion. Treatment modalities range from conservative therapy including eye patching with antibiotic and lubricating ointment to invasive surgical eyelid suturing. In this case report, successful resolution of chemosis and eyelid inversion occurred with conservative management.
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