Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly consisting of partial or complete adhesion of the upper and lower eyelids, and it can be an isolated finding, or associated with other multisystemic anomalies. Its presence should alert the neonatologist of the need for a detailed systemic evaluation. We present a twenty day old baby who presented to our facility on the 8th of August 2019, with bilateral adhesions of the upper and lower eyelids, and had them excised with the use of McPherson’s forceps and Vannas scissors, with no sedation or anesthesia. Timely separation of the lids is important to prevent the onset of stimulus deprivation amblyopia.

Background: Ophthalmic injuries in patients with maxillofacial trauma are potential causes of a permanent visual loss. These injuries can easily be missed; hence, there is a need for the ophthalmic evaluation of patients with maxillofacial trauma. The main objective of this study was to determine the prevalence, patterns, etiology, and risk factors of ophthalmic injuries in patients presenting with maxillofacial trauma in a teaching hospital in North Central Nigeria. Materials and Methods: The study was a hospital-based, descriptive, cross-sectional study of 67 patients with maxillofacial trauma recruited over a 6-month study period. Information on the sociodemographic and clinical characteristics of the study participants was obtained. The data were analysed using SPSS version 20 statistical software. Pearson’s chi-square test was used to test for statistical significance. Results: Ophthalmic involvement was seen in 77.6% of the study participants, with males and individuals aged 21–30 years being more commonly affected. The leading cause of ophthalmic injuries in patients with maxillofacial trauma was road traffic accident (RTA) (75.5%). Others included assaults and fall from heights. Amongst the RTA cases, 71.4% was due to motorcycle-related accident with 91.9% of the patients with ophthalmic injuries observed not to use helmet/seat belt. The use of alcohol and not wearing protective gears were seen as the risk factors. Simple zygomatic complex fracture was the most common trauma observed (44.2%). Conclusion: Ophthalmologic assessment should be conducted for all patients presenting with maxillofacial trauma. The laws on the use of protective gears such as helmets and seat belts should be enforced.

Background: Congenital ectropion is a rare congenital eyelid eversion with chemosis. It is twice more common in males. We report a case of congenital unilateral eversion of the upper eyelid with severe chemosis that was successfully managed conservatively. Aim: The case is being reported for its rarity, demonstrating effectiveness of conservative management with 3% hypertonic saline. Also to create awareness of the diseases and ease of management amongst health workers. Case Presentation: The patient was a 4 day old female child with a congenital unilateral eversion of the right upper eyelid and severe chemosis following uneventful delivery. Patient was also noticed to be febrile, but no other physical or systemic anomaly. A conservative treatment approach was used which consisted of the application of antibiotics eye drop and ointment and padding of the eye with 3% hypertonic saline soaked gauze. The eyelid reverted spontaneously after 3 days and the condition was completely resolved without complications. Conclusion: Congenital eyelid eversion is a benign condition that excellently responds to conservative treatment. Creating awareness of its existence and treatment approach amongst health workers is essential.