CONGENITAL ECTROPION ASSOCIATED WITH BILATERAL PTOSIS-CASE REPORT

Late presentation of congenital ectropion of the eyelids in a child with Down syndrome: a case report and review of the literature

Congenital eversion or ectropion of the upper eyelids is rare. Only 50 cases have been reported since the condition was first described in 1896. We encountered an additional case of congenital ectropion of the eyelids, which is also unusual because of its late presentation for treatment. This case demonstrates the unfavorable outcome of failure to treat this condition at birth and illustrates the association with Down syndrome. Our case is compared with the others reported in the literature.

Congenital eyelid eversion with orbicularis spasm

Eversion of the lids at birth is a rare condition of debated etiology. It has been attributed most frequently to birth trauma or to congenital lid hypotonia. Most reported cases have been treated by immediate taping of the lids or by surgery (tarsorraphy, intermarginal sutures, and/or plastic procedures). A prominent association with Down's syndrome has been noted. We report a normal infant, born by Caesarean section, with bilateral upper eyelid eversion which subsided spontaneously after treatment only with lubricants. A prominent spastic ectropion component was observed. Lid laxity appeared to be an effect rather than a cause of the eversion, and disappeared as the condition improved. Management should take into account the duration of total occlusion caused by this abnormality.

A NEW SYNDROME COMBINING PTERYGIUM COLLI WITH DEVELOPMENTAL ANOMALIES OF THE EYELIDS AND LYMPHATICS OF THE LOWER EXTREMITIES

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Congenital ectropion and distichiasis; etiologic and hereditary factors: a report of cases and review of the literature

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Congenital ectropion of the upper lids

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