Bilateral Congenital Eyelids Eversion: Case series and review of literature

Abstract

Congenital Upper Eyelid Eversion (CUEE) is a rare and benign congenital condition characterized by everted upper eyelids with prominent chemosis. We report two cases of bilateral congenital upper eyelid ectropion; an ophthalmic examination of one of the cases showed asymmetry in the extent of upper eyelid eversion and chemosis. The further paediatric evaluation showed no revealing in the two cases. For the two cases, treatment of the eyelids eversion was conservative, combining topical steroids, antibiotics, and lubricants. Chemosis was reduced progressively. One of the cases reported by the authors had an asymmetric severity and variation in time to respond to conservative treatment, which makes it peculiar to other reported cases of congenital upper eyelid ectropion. In this patient, the upper eyelid with severe chemosis and eversion took extended time.
Congenital upper eyelid ectropion is common among black infants, and most infants show excellent anatomic and functional results with conservative treatment if managed timely and promptly.