Reconstruction of Bilateral Upper Eyelid Colobomas Using a Vertical Temporal Advancement Flap

Area of Science:

• Ophthalmology
• Genetics
• Pediatric Surgery

Background:

• Manitoba oculo-tricho-anal syndrome is a rare genetic disorder.
• Infants may present with severe ocular surface disease due to eyelid abnormalities.

Purpose of the Study:

• To describe the clinical presentation of a rare bilateral upper eyelid defect.
• To present an innovative surgical technique for eyelid reconstruction.

Main Methods:

• Case report of a male infant with congenital eyelid abnormalities.
• Diagnosis confirmed via genetic testing for Manitoba oculo-tricho-anal syndrome.
• Surgical intervention using a vertical temporal advancement flap for bilateral upper eyelid reconstruction.

Main Results:

• The infant presented with bilateral upper eyelid colobomas, absent upper puncta, and eyelid-globe fusion.
• Post-operative follow-up at 6 months showed excellent eyelid movement and closure.
• No corneal exposure was observed, indicating successful protection of the ocular surface.

Conclusions:

• Congenital eyelid defects associated with Manitoba oculo-tricho-anal syndrome require prompt surgical management.
• Vertical temporal advancement flap is an effective technique for reconstructing severe bilateral upper eyelid defects.
• Early surgical intervention can prevent long-term ocular surface complications.