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Congenital Upper Eyelid Entropion in an Extremely Low Birth Weight Neonate: Early Surgical Correction to Prevent

Roney Gonçalves Fechine Feitosa1, Jéssica Victor E Lacerda Cabral1, Marcus Vinícius Ponte de Souza Filho1

  • 1Division of Plastic Surgery, Hospital Geral de Fortaleza, Fortaleza; and.

Ophthalmic Plastic and Reconstructive Surgery
|April 8, 2026
PubMed

Insights

Early surgical correction of congenital upper eyelid entropion in a fragile neonate safely restored eyelid function and prevented corneal damage. This intervention is crucial for preserving vision in high-risk infants.

Area of Science:

  • Ophthalmology
  • Neonatal Surgery
  • Pediatric Ocular Conditions

Background:

  • Congenital upper eyelid entropion is a rare condition in neonates.
  • It can lead to severe corneal morbidity if untreated.
  • Surgical risks in extremely low-birth-weight infants necessitate careful consideration.

Purpose of the Study:

  • To report a case of early surgical correction for bilateral congenital upper eyelid entropion in a preterm neonate.
  • To evaluate the safety and efficacy of surgical intervention in a high-risk infant.
  • To demonstrate the prevention of irreversible corneal sequelae.

Main Methods:

  • Surgical correction involved transposing the pretarsal orbicularis and levator aponeurosis complex.
  • The transposed complex was fixed to the superior tarsal border to restore lamellar balance.
  • The procedure was performed on a late preterm neonate weighing 900g with bilateral entropion and corneal ulceration.

Main Results:

  • Immediate postoperative bilateral eyelid eversion was achieved.
  • Ocular irritation was resolved post-surgery.
  • Eyelid position remained stable without recurrence at 4 months postoperatively.

Conclusions:

  • Early surgical correction can safely restore lamellar balance in neonates with congenital upper eyelid entropion.
  • This approach effectively prevents irreversible corneal damage.
  • Timely intervention is vital for vision preservation in fragile neonates.

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