Congenital Coloboma of the Eyelid
Congenital eyelid coloboma (eyelid cleft or notch) usually involves the upper eyelid and can range from a small notch to a defect encompassing the horizontal length of the eyelid. The eyelid may be fused to the globe (Fig 17-4). Eyelid colobomas are unrelated to other ocular colobomas and are commonly associated with Goldenhar syndrome or amniotic band syndrome. The eye of an infant with a congenital eyelid coloboma should be monitored for exposure keratopathy. Surgical closure of the eyelid defect is required in most cases.
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.