Congenital eyelid imbrication syndrome (CEIS) is an extremely rare, benign, transient, self-limiting eyelid malposition disorder. The classic triad of signs in patients with a CEIS consists of bilateral upper eyelids overriding the lower eyelids when child was in sleep, bilateral medial and lateral canthal tendon laxity and tarsal conjunctival hyperemia. We report a third case of congenital combined eyelid imbrication and floppy eyelid syndrome in healthy neonate that was resolved within a week with conservative treatment.

Ophthalmomyiasis is the infestation of human eye by the larvae of certain flies. Sheep botfly commonly manifests as Ophthalmomyiasis externa when there is conjunctival involvement or rarely as Opthalmomyiasis interna when there is larval penetration into the eyeball. It appears to be more common than what has been indicated by previously published reports. We present a report of seven cases of Ophthalmomyiasis by Oestrus ovis, from central India who presented with features of conjunctivitis varying between mild to severe. The larvae were seen in bulbar and palpebral conjunctiva and also entangled in lashes with discharge. Since the larvae are photophobic, it is prudent to look for them in the fornices and also in discharge. Prompt removal of the larvae from the conjunctiva helps in relieving the symptoms and also prevents serious complications. Taxonomic identification of the species is important to estimate the risk of globe penetration by the larvae.

P i c t u r e 1 . A Cl i n i c a l p h o t o g r a p h s h o ws b i l a t e r a l p r o p t o s i s i n a n o s t e o p e t r o s i s p a t i e n t . B : X-r a y o f h a n d s h o ws o s t e o s c l e r o s i s ( ma r b l e -b o n e a p p e a r a n c e ) o f me t a c a r p a l s wi t h a b s e n c e o f me d u l l a r yc a v i t y i n r a d i u s a n d u l n a . C & D: Ri g h t a n d l e f t e y e f u n d u s p h o t o g r a p h s h o ws ma r k e d p a p i ll o d e ma wi t h s o f t e x u d a t e s . Co mp u t e d t o mo g r a p h y s c a n s o f t h e b r a i n a n d o r b i t s h o wi n g , E : B i l a te r a l o p t i c c a n a l s t e n o s i s ( b l a c k a r r o w) a n d F : B i l a t e r a l o p t i c n e r v e s h e a t h d i l a t a t i o n ( wh i t e a r r o w) .

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