Congenital combined eyelid imbrication and floppy eyelid syndrome: Case report and review of literature

Abstract

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.

Congenital Eyelid Eversion - A Case Report With Review of Literature

“…7 Some case reports have categorized eyelid imbrication syndrome as a less severe form of floppy eyelid syndrome. 5 however we are of the opinion that both the entities are synonyms for the same condition and a larger case series would be helpful to establish or refute it.…”

“…It is seen commonly after normal vaginal delivery but has also been seen after caesarean section. 5 Eyelids are said to be spontaneously everting when they evert on gentle pulling of the skin of the upper eyelid towards the forehead, crying and yawning. The classical features have been described as a triad consisting of bilateral overriding of lower eyelids by the upper eyelids during sleep, bilateral medial and lateral canthal tendon laxity and tarsal conjunctival hyperemia.…”

“…The classical features have been described as a triad consisting of bilateral overriding of lower eyelids by the upper eyelids during sleep, bilateral medial and lateral canthal tendon laxity and tarsal conjunctival hyperemia. 5 Chandravanshi et al mentioned that the upper eyelid margins stained faintly with Rose Bengal suggesting drying of the exposed conjunctiva. 5 The chemosed and prolapsed conjunctiva probably protects the cornea and hence corneal problems are rare.…”

“…5 Chandravanshi et al mentioned that the upper eyelid margins stained faintly with Rose Bengal suggesting drying of the exposed conjunctiva. 5 The chemosed and prolapsed conjunctiva probably protects the cornea and hence corneal problems are rare. 6 However, Al-Hussain et al reported a case of corneal perforation in a seven month old baby with upper eyelid eversion since birth with Down's Syndrome resistant to conservative management.…”

“…Chandravanshi et al demonstrated associated bacterial infection in congenital upper eyelid eversion leading to ineffective conservative management. 5 Ointment based antibiotics prevent and treat the infection with the added advantage of retaining moisture. Stern et al have described covering the eyelid with food wrap to prevent desiccation.…”