Figure 1 The defect of the left upper eyelid at birth (a) and massive purulent discharge in the conjunctiva sac on the second day (b). The mass disappeared in 1 month, leaving a small defect in the lid margin but an intact tarsus (c). Twenty-four months after birth, she looked normal at the primary gaze (d) but revealed a lid margin defect only at the down gaze (e).