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Related Experiment Video

Updated: Dec 16, 2025

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Severe bilateral ankyloblepharon filiforme adnatum.

Omar Solyman¹, Abdelrahman M Elhusseiny², Hisham A Hashem³

¹Department of Ophthalmology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|July 5, 2020

Summary

This summary is machine-generated.

This case study details the successful surgical correction of bilateral ankyloblepharon filiforme adnatum in a newborn. The simple surgical severance of eyelid bands ensured immediate eye opening and normal visual development.

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Area of Science:

Ophthalmology
Pediatric Surgery

Background:

Ankyloblepharon filiforme adnatum (AFA) is a rare congenital condition where the eyelid margins are partially or completely fused by bands of tissue.
This fusion can obstruct vision and requires timely intervention.

Observation:

A 1-day-old female infant presented with bilateral AFA, characterized by tissue bands connecting the upper and lower eyelids of both eyes.
The condition was diagnosed shortly after birth.

Findings:

A straightforward surgical approach involving the severance of the eyelid bands with blunt scissors was employed.
Hemostasis was achieved rapidly (1-2 minutes) without cautery or compression.
The patient could open her eyes immediately post-procedure and maintained open palpebral fissures.

Implications:

This case highlights a minimally invasive and effective surgical technique for AFA.
Successful surgical correction leads to immediate functional improvement and normal long-term visual development in infants.
Early surgical intervention for AFA is crucial for preventing visual impairment.