Congenital eyelid eversion with orbicularis spasm

Congenital bilateral upper eyelid eversion: report of a case

Congenital bilateral upper eyelid eversion is a rare condition and the definite cause is not known. It is often seen in Black babies or babies with Down's syndrome. With early diagnosis and appropriate treatment, the condition can be managed without surgery. We report a case of congenital upper eyelid eversion in an otherwise healthy Caucasian neonate, born by normal vaginal delivery. The case responded well to conservative treatment, including eyelid repositioning, lubricants, antibiotic ointment, and eyelid patching.

Unilateral Congenital Eyelid Eversion Causing Marked Chemosis in a Newborn

A generally healthy male infant was born with unilateral congenital eversion of the upper eyelid causing considerable conjunctival injection and chemosis. Conservative medical management with topical lubrication and antibiotics resolved the condition within a few days.

Congenital bilateral eversion of the eyelids

The authors report a case of congenital bilateral eversion of the eyelids with secondary conjunctival prolapse in a 4-hour-old neonate. Conservative treatment with hypertonic normal saline, lubricants, antibiotics, and padding was instituted. No surgery was performed. Complete eye opening was achieved by the 10th day after birth. Medical management is advantageous in that it is inexpensive, noninvasive, and can be performed even in a center with poor surgical facilities, as is commonly encountered in developing countries. The sociopsychological aspect of the disease, possible pathophysiology, and treatment are discussed.