Congenital Upper Eyelid Entropion in an Extremely Low Birth Weight Neonate: Early Surgical Correction to Prevent Corneal Injury.
Roney Gonçalves Fechine Feitosa, Jéssica Victor E Lacerda Cabral, Marcus Vinícius Ponte de Souza Filho et al.
✦ AI-curated · Sources linked
Case in brief
A late preterm neonate weighing 900 g presented with bilateral congenital upper eyelid entropion and a right corneal ulcer. Because the inward-turning lids posed a risk of further corneal injury, the pretarsal orbicularis–levator aponeurosis complex was transposed and fixed to the superior tarsal border. Both eyelids everted immediately after surgery, and ocular irritation resolved. At 4 months, eyelid position remained stable without recurrence.
What made this case unusual
The case involved bilateral upper eyelid entropion with corneal ulceration in a 900 g neonate, requiring a balance between surgical risk in a fragile infant and the threat of corneal damage.
Diagnostic / clinical pearl
In a neonate with congenital upper eyelid entropion, assess promptly for corneal injury; this case illustrates that early surgical correction can restore eyelid position even in an extremely low-birth-weight infant.