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

• Published in: Annals of medicine and surgery Vol. 74; p. 103279
• Main Authors: Sayadi, Jihene, Malek, Ines, Abid, Yosra, Gouider, Dhouha, Mekni, Manel, Chebbi, Amel, Nacef, Leila
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-02-2022; Elsevier
• Subjects: Case Report; Clubfoot; Congenital ectropion; Congenital eyelids abnormality; Umbilical hernia; Upper eyelids eversion; Congenital ectropion; Umbilical hernia; Case report; Upper eyelids eversion; Congenital eyelids abnormality; Clubfoot
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2022.103279

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.
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.
Most infants with CUEE may show excellent anatomic and functional results with conservative treatment if managed timely and promptly.
The innocuous appearance of CUEE must not prevent clinicians from investigating possible systemic associations and initiating appropriate treatment.
•Congenital upper eyelid eversion is a very rare congenital condition, few cases have been published in the literature.•This condition is usually isolated. However, a higher prevalence is reported in Down syndrome and colloidal skin disease.•To the best of our knowledge, we present the first case of concurrent upper eyelids eversion, umbilical hernia and clubfeet.•Management is often conservative, most infants with congenital upper eyelid eversion may show excellent results if managed timely and promptly.