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Unilateral upper eyelid eversion and kink associated with epidemic keratoconjunctivitis
Judy Gaffar1, Georges Nassrallah1, Devinder Paul Cheema1
1Department of Ophthalmology and Visual Sciences, McGill University, Montreal, Quebec, Canada.
American Journal of Ophthalmology Case Reports
|September 3, 2020
Summary
Upper eyelid eversion is rare in adults without scarring. This case highlights epidemic keratoconjunctivitis (EKC) as a cause, successfully managed with conservative treatment.
Area of Science:
- Ophthalmology
- Infectious Diseases
Background:
- Upper eyelid eversion in adults is uncommon, particularly from non-cicatricial etiologies.
- Epidemic keratoconjunctivitis (EKC) is a viral eye infection typically causing conjunctivitis and keratitis.
Observation:
- A 37-year-old female presented with unilateral upper eyelid eversion following a severe bilateral conjunctivitis.
- Examination revealed follicular conjunctivitis, keratopathy, and an everted upper lid tarsus with swollen, ulcerated palpebral conjunctiva.
Findings:
- This is the first reported case of upper eyelid eversion directly secondary to epidemic keratoconjunctivitis (EKC).
- The eversion was likely caused by acute, severe inflammation and edema of the posterior eyelid lamella due to adenoviral infection.
Implications:
- This case expands the known clinical spectrum of EKC complications.
- Conservative management, including anti-inflammatory medication, antibiotics, lubrication, and supportive care, can successfully resolve EKC-induced upper eyelid eversion.
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