Congenital Ectopic Cilia of the Upper Eyelid

Chappell, Michael C.; Spencer, W. G.; Day, Susan H.; Silkiss, Rona Z.

doi:10.1097/iop.0b013e3181e17501

Cited by 8 publications

(5 citation statements)

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“…[5,6] Recently MacQuillen et al [6] and Chen et al, [5] have proposed that the anomaly is likely due to inappropriate differentiation during embryogenesis, given its congenital presentation and its predilection for the lateral portion of the upper eyelid as in our case. Similar to our case the onset of copious tearing triggered by environmental irritants that arose from the base of several ectopic cilia had been described in an 8-year-old boy by McCulley et al [7] and in a 19 years old girl by Micheal et al [2] The presence of sebaceous and apocrine glands in the ectopic cilia and the absence of lacrimal acini or ducts suggest that the secretion from the aberrant cilia is not derived from the lacrimal gland and is not tear. Instead, the moisture represents a mixture of the by products of sebaceous and apocrine glands.…”

Section: Ectopic Cilia On Left Upper Eyelid On Down Gazesupporting

confidence: 88%

“…All anterior examples of ectopic cilia have been located in the lateral aspect of the upper eyelid. [2] The first reported case of ectopic cilia was described in 1936 by Weigmann in jlmc.edu.np J. Lumbini. Med.…”

Section: Discussionmentioning

confidence: 99%

“…Instead, the moisture represents a mixture of the by products of sebaceous and apocrine glands. [2] The preferred treatment for ectopic cilia is surgical excision. One case has been reported for recurrence that may have been due to incomplete excision.…”

Section: Ectopic Cilia On Left Upper Eyelid On Down Gazementioning

confidence: 99%

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Ectopic Eyelid Cilia in a 15 years old Girl: A Rare Presentation

Godar

Shrestha²,

Godar³

2018

J Lumbini Med Coll

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Introduction: Eyelashes are unique hair follicles normally found at the eyelid margin. The spectrum of cilial anomalies includes cilial row duplication, agenesis and ectopic placement. Ectopic cilia are the rarest of cilial anomalies. Case Report: A 15 years old girl presented with the complaints of eyeache and headache for three months. She also complained of extra lashes over left upper eyelid with secretion of tears while crying from the area of extra lashes. She was a diagnosed case of epilepsy under treatment for three months. On examination, visual acuity was 6/6p in right eye and 6/6p in left eyewith best corrected visual acuity being 6/6 with -0.25DS in both the eyes. The anterior and posterior segment findings were normal except for presence of extra bunch of cilia on the temporal side of the left upper eyelid two mm above the upperlid crease with dimpling of the underlying skin. Conclusion: Ectopic cilia,a rare congenital condition, is asymptomatic and surgical treatment can be done for cosmetic correction. Keywords: cilia, ectopic, eyelid

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Section: Ectopic Cilia On Left Upper Eyelid On Down Gazesupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Ectopic Eyelid Cilia in a 15 years old Girl: A Rare Presentation

Godar

Shrestha²,

Godar³

2018

J Lumbini Med Coll

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“…2 Gordon et al 10 described a complex choristoma of the right eyelid containing ectopic cilia and a functioning aberrant lacrimal gland tissue intermittently producing tears. Sebum that had accumulated at the base of the cilia in 1 patient was found by Chappell et al 5 A case of ectopic cilia and atopic eczema in the periorbital region 18 and a hypochromic nevus 7 were also documented. Edmunds et al 9 presented the case of a 2-year-old girl with nail-patella syndrome and ectopic cilia.…”

Section: Discussionmentioning

confidence: 91%

Ectopic cilia associated with an orbital dermoid cyst and sinus tract: case report

Krahulík¹,

Karhanová

Vaverka³

et al. 2015

PED

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Ectopic cilia are extremely rare congenital anomalies in which eyelash follicles appear in an abnormal place on the eyelid, most typically on the lateral quadrant of the anterior surface of the upper eyelid. In the majority of cases, simple surgical excision of ectopic cilia is indicated because of its cosmetic aspect. There is usually no associated medical co-morbidity with this anomaly. The authors report an unusual case of ectopic cilia associated with an orbital dermoid cyst and sinus tract. A 3-year-old boy was initially diagnosed with ectopic cilia on the left upper eyelid. There was no history of inflammation or swelling of the eyelid. An ophthalmological examination revealed only 1 mm of ptosis; no proptosis, inferior displacement, or palpable orbital mass was present. During surgical excision of the ectopic cilia, a thin sinus tract was identified, leading posteriorly to the orbit. Magnetic resonance imaging performed after the excision showed a supraorbital extraconal mass just below the roof of the left orbit. A supraorbital 2-piece craniotomy was performed with total extirpation of the dermoid cyst. The cyst was removed en bloc without damage to the extraocular muscles, but the sinus tract could no longer be identified. Follow-up MRI was performed 6 months after surgery and showed no evidence of recurrence. A follow-up ophthalmological examination showed no signs of inferior displacement or proptosis. To the best of the authors’ knowledge, this case is the first reported instance of ectopic cilia associated with a dermoid cyst and sinus tract in which no typical clinical signs and symptoms of possible orbital pathology were present. This case highlights the value of radiological examination in all cases of ectopic cilia prior to surgical excision.

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“…The ectopic cilia are not usually isolated but are often associated with distichiasis [ 7 ], choristoma and aberrant lacrimal glands [ 8 ], hypochromic nevus [ 3 ], sebum accumulation [ 9 ], atopic eczema [ 10 ], nail-patella syndrome [ 11 ], and a combination of orbital dermoid cyst and sinus tract [ 2 ]. However, in our case we could not find any eye-related or systemic abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Isolated ectopic cilia in an 11-year-old girl

Zein

2016

GMS Ophthalmology Cases; 6:Doc13

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Congenital Ectopic Cilia of the Upper Eyelid

Cited by 8 publications

References 5 publications

Ectopic Eyelid Cilia in a 15 years old Girl: A Rare Presentation

Ectopic Eyelid Cilia in a 15 years old Girl: A Rare Presentation

Ectopic cilia associated with an orbital dermoid cyst and sinus tract: case report

Isolated ectopic cilia in an 11-year-old girl

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