Case report: Severe presentation of a syndromic congenital bilateral upper eyelids eversion.

ABSTRACT:

Introduction

and importance: Congenital upper eyelid eversion (CUEE) is a rare congenital condition characterized by everted upper eyelids with prominent chemosis. The authors present the first case of concurrent upper eyelids eversion, umbilical hernia, and clubfeet.

Case presentation

A four-hour-old newborn male presented with bilateral red upper eyelids swelling. Ophthalmic examination revealed bilateral upper eyelids eversion and severe bilateral chemosis. The further pediatric evaluation showed a painless reducible umbilical hernia and clubfeet. Treatment of the eyelids eversion was conservative, combining topical steroids, antibiotics and lubricants. Chemosis reduced progressively. We obtained a complete resolution on day 21. We referred the neonate to the pediatric surgery, and orthopedic department for umbilical hernia and clubfeet management.

Clinical discussion

Most infants with CUEE may show excellent anatomic and functional results with conservative treatment if managed timely and promptly.

Conclusion

The innocuous appearance of CUEE must not prevent clinicians from investigating possible systemic associations and initiating appropriate treatment.

SUBMITTER: Sayadi J 

PROVIDER: S-EPMC8844762 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature