Congenital Palpebral Eversion: A New Conservative Management Method (About Four Cases)

Abstract

Congenital eversion of the eyelids is a rare entity, usually presenting at birth and most frequently involving the upper eyelid. Most often, congenital eversion presents bilaterally, although unilateral cases also exist. We report four (4) cases in infants treated at our centers. We noted: 3 cases with bilateral total eversion of both upper eyelids and one case of unilateral total eversion of the left upper eyelid. We observed two cases in newborns with a clinical profile of collodion baby, which is a very rare and typical entity and two other cases in newborns with no other associated organic anomaly. The management of the four cases in our series consisted of subtarsal injections of dexamethasone, use of antibiotic-corticoid eye drops and ointments and local care, which represents a revolution in the conservative method, resulting in a total and spectacular remission after one week of treatment, with normalization of palpebral statics and spontaneous palpebral movements. In addition to conservative treatment other than our own, other authors have proposed surgical treatment using a variety of invasive procedures.