Congenital Tarsal Kink
In congenital tarsal kink, the tarsal plate of the upper eyelid is folded at birth, resulting in entropion. The cornea may be exposed and traumatized, leading to ulceration. The clinician can manage minor defects by manually unfolding the tarsus and taping the eyelid shut with a pressure dressing for 1–2 days. More severe cases require surgical incision of the tarsal plate or excision of a V-shaped wedge from the inner surface to permit unfolding.
Figure 17-6 Epiblepharon, right eye. The medial lower eyelid eyelashes are turned inward, causing corneal irritation.
(Courtesy of Gregg T. Lueder, MD.)
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.