Eyes that cannot be seen: a rare case of ankyloblepharon filiforme adnatum (AFA) in a neonate

Gaur, Nripen; Meel, Rachna; Shashni, Adarsh; Shaikh, Nawazish

doi:10.1136/bcr-2018-224557

Cited by 2 publications

(2 citation statements)

References 3 publications

(3 reference statements)

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“…P63 is a gene on chromosome 3q27 that affects limb, craniofacial, and prenatal ectoderm development. [15] This anomaly's cause is unknown, although several hypotheses have been proposed. According to the currently accepted theory [13] , this condition is caused by temporary epithelial arrest and rapid mesenchymal proliferation, permitting abnormal lid union.…”

Section: Discussionmentioning

confidence: 99%

“…The typical treatment for fibrous bands consists of their excision. Although some cases have resolved spontaneously before four months of age [15] , the advantages of early resection of the palpebral attachments are indisputable. Fine adhesion bands can be severed by forcibly separating the lids or using a muscle hook, pointed scissors, or a scalpel.…”

Section: Discussionmentioning

confidence: 99%

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Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn

Mayangsari,

Doemilah

2023

VSEHJ

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Introduction: Ankyloblepharon filiforme adnatum (AFA) is a rare congenital condition marked by one or more bands of tissue adhering partially or entirely to the ciliary margins of the upper and lower eyelids at the gray line. This case study illustrates the ease of treating the condition. A general ophthalmologist could do that. Case Presentation: A one-month-old infant was admitted to the outpatient clinic. Since birth, he could not open his eyes due to upper and lower eyelid adhesions. There was also a coloboma in the one-third lateral upper eyelid in the right eye. The evaluation of other body systems was normal. The infant was diagnosed with type I AFA and underwent surgery under general anesthesia. After crushing the band with the clamp, the bands of tissue were excised with the blade. The coloboma was reconstructed by applying primary closure and pentagonal shape incision, then sutured with 8-0 vicryl. The eyelids were separated with an aligned lid margin. Conclusions: Simple surgical procedures are used to treat congenital ankyloblepharon. It depends on the nature and extent of the adhesions along the lid margin. To reduce the risk of amblyopia, early treatment should be initiated immediately.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn

Mayangsari,

Doemilah

2023

VSEHJ

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Multidisciplinary management of ankyloblepharon filiforme adnatum

et al. 2020

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A female infant born at 41+6 weeks via emergency caesarean section due to failure to progress and maternal sepsis was found to have a small fibrous band connecting the upper and lower eyelids of the right eye. This was diagnosed as ankyloblepharon filiforme adnatum. The child was investigated for multisystemic malformations by the paediatric department, but none were found, and the partially fused right eyelid was dissected using microsurgical scissors to allow full opening of the eye. We summarise the management of a rare oculoplastic disorder.

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Eyes that cannot be seen: a rare case of ankyloblepharon filiforme adnatum (AFA) in a neonate

Cited by 2 publications

References 3 publications

Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn

Management of an Isolated Type I Ankyloblepharon Filiforme Adnatum (AFA) with Coloboma of the Upper Eyelid in a Newborn

Multidisciplinary management of ankyloblepharon filiforme adnatum

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