Congenital Four Eyelid Ectropion Associated With Clefting Anomaly

Area of Science:

• Ophthalmology
• Pediatric Surgery
• Craniofacial Surgery

Background:

• Congenital eyelid ectropion is a rare condition.
• It can be associated with craniofacial anomalies such as cleft lip and palate.
• Exposure keratopathy is a potential complication due to eyelid malposition.

Observation:

• An infant presented with congenital eyelid ectropion and cleft lip and palate.
• The patient developed exposure keratopathy secondary to the ectropion.
• The infant underwent surgical repair including upper eyelid skin grafting and lateral canthal reconstruction.

Findings:

• The surgical intervention led to successful correction of the eyelid ectropion.
• Signs of exposure keratopathy significantly improved post-operatively.
• The outcome demonstrates the efficacy of surgical management for this rare condition.

Implications:

• Surgical repair is an effective treatment for congenital eyelid ectropion.
• Early intervention can prevent or mitigate complications like exposure keratopathy.
• This case highlights the importance of addressing eyelid abnormalities in infants with craniofacial syndromes.