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Congenital inner eyelid folds
Matt Millett1,2, Jamila G Hyasat1,2, Gregg T Lueder1,2
1Departments of Ophthalmology and Visual Sciences and Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, Missouri, USA.
Ophthalmic Genetics
|January 13, 2023
Summary
Two infants presented with unusual internal eyelid folds during nasolacrimal duct (NLD) obstruction probing. These eyelid anomalies were incidentally discovered during NLD surgery and resolved post-operatively.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Two infants presented with unusual internal eyelid folds.
- These folds were identified during nasolacrimal duct (NLD) obstruction probing.
Purpose of the Study:
- To describe the ocular findings of unusual internal eyelid folds in infants.
- To investigate the potential association between these eyelid folds and NLD obstruction.
Main Methods:
- Retrospective review of medical records for two pediatric patients.
- Clinical observation of eyelid morphology during NLD probing.
Main Results:
- Both infants exhibited unique eyelid folds originating near the lacrimal canaliculi and extending towards the caruncle.
- Nasolacrimal duct obstruction resolved in both cases following routine surgical intervention.
Conclusions:
- The unusual eyelid folds appear to be an incidental finding, not causative of NLD obstruction.
- The etiology may involve schisis or incomplete separation of the inner eyelid margin.
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