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Cleft Lip With Ankyloblepharon Filiforme Adnatum: A Case Report
Mayu Takaichi1, Kumiko Fujiwara2, Naomi Nakamichi1
1Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, University of Toyama, Toyama, Japan.
Summary
Ankyloblepharon filiforme adnatum (AFA), a rare eyelid adhesion, can co-occur with congenital conditions like cleft lip. Prompt diagnosis and surgical intervention are crucial for optimal visual development.
Area of Science:
- Ophthalmology
- Genetics
- Developmental Biology
Background:
- Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by eyelid adhesion.
- While often isolated, AFA can be associated with other congenital disorders, necessitating comprehensive evaluation.
Observation:
- This report details a rare case of AFA occurring in conjunction with a cleft lip.
- The patient presented with bilateral AFA, with fibrous adhesions noted in the central left eye and external canthus of the right eye.
Findings:
- Surgical excision of the fibrous adhesions in both eyes successfully restored full eyelid opening.
- The patient had no other diagnosed congenital diseases post-operatively.
Implications:
- AFA is believed to stem from ectodermal developmental abnormalities.
- Early diagnosis and surgical management of AFA are vital to prevent amblyopia and facilitate the detection of associated conditions such as glaucoma.
