Blink
Congenital Eyelid Eversion
By Sophocles Sophocleous, OD, MD, East Surrey Hospital, Redhill, England, and Wagih Aclimandos, MBChB, FRCS, King’s College Hospital, London
Photo by Dr. Sophocleous
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A newborn presented with congenital eyelid eversion of the left eye (Fig. 1, at 1 day old) that spontaneously resolved within 1 week (Fig. 2, at 1 week old). Both eyes were otherwise normal on examination. Congenital eversion of the eyelids is a rare condition of unknown etiology. The upper eyelid is everted, with protrusion of edematous palpebral conjunctiva. It can be unilateral or bilateral. Double eversion of the eyelid is necessary to confirm that the eye anatomy beyond the lids is normal. Congenital eyelid eversion is generally a self-resolving condition that requires only topical lubricants to prevent desiccation of the exposed conjunctiva.
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