Bilateral congenital upper eyelid eversion: the clinical course and outcome of conservative management

Abstract

A case of bilateral congenital upper eyelid eversion (CUEE) in an otherwise normal healthy 6 day old neonate of African descent (Nigeria). Pregnancy and delivery history were uneventful. The baby recovered completely 5 days after the commencement of conservative management. This case further gives credence to the usefulness of conservative therapy in the management of CUEE.

Congenital bilateral upper lid eversion

“…One was delivered via normal vaginal delivery and the other by a cesarean section. It is unlikely that delivery method can be a predisposing factor, as similar cases have been documented following both normal vaginal delivery[ 10 13 14 15 16 18 20 22 24 25 ] and cesarean section. [ 10 17 21 29 ] Mechanical eversion of the eyelids during passage through the birth canal has been suggested as a cause of CBULE.…”

“…The disorder is clinically characterized by prolapse of the edematous upper lid conjunctival fornix leading to upper eyelid eversion that is usually present since birth, but later presentation has been documented. [ 16 ] Most publications report bilateral involvement of the upper lids, but unilateral involvement has been observed. [ 10 13 ]…”

“…The vast majority of reported cases in healthy children were described in Africans[ 10 11 12 13 14 15 16 17 18 19 ] or Afro-Americans[ 20 21 22 23 ] except one Arabian patient,[ 24 ] two Indian patients,[ 25 26 ] and one Turkish patient. [ 27 ] This entity is likely only encountered by few ophthalmologists throughout their career, making it important to report the clinical characteristics, feasible etiologies, and treatment options for CBULE to raise awareness and a correct diagnosis.…”

Congenital Eyelid Eversion - A Case Report With Review of Literature

“…Chemosis resolved significantly by day 3. 14 Watts and Dapling reported respiratory arrest during mechanical repositioning of the eyelid. Thus they emphasized the importance of vigilance towards autonomic effect of eyelid manipulations in neonates.…”

Congenital ectropion

“…These methods resolve congenital ectropion in few days to weeks. The severe, non-resolving cases may need surgical interventions like subconjunctival hyaluronidase injection, temporary tarsorrhaphy, excision of redundant conjunctiva and compression suture 2 4 5…”