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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
PubMed

Insights

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.
Abstract

Keywords:
Congential anomalyconjunctivaembryologyeyelid

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