Güdeloğlu Elif, Altan Emir Volkan
Dr. Behçet Uz Children's Hospital of Izmir, Izmir, Turkey.
J Craniofac Surg. 2020 May/Jun;31(3):e239-e241. doi: 10.1097/SCS.0000000000006180.
Here, the authors report a rare case of congenital bilateral upper eyelid eversion with severe chemosis that was successfully managed by nonsurgical ways. A 2-hour-old male newborn with bilateral congenital upper eyelid eversion and severe chemosis was properly treated with conservative management consisting of the application of the antibiotic, steroid, and artificial tear drops and ointments in combination with padding the exposed conjunctiva with normal saline-soaked gauzes. The management was resulted in prompt and satisfactory resolution on the 14th day. Congenital upper eyelid eversion being typically a rare clinical entity is reported more frequently in African population. Although this unfavorable condition could end up with destructive complications like loss of vision, a reasonable anatomical outcome with good cosmetic results can be effectively achieved by conventional methods. Therefore, a thorough ocular examination should be carried out to exclude other ocular or systemic complications.
在此，作者报告了一例罕见的先天性双侧上睑外翻伴严重结膜水肿的病例，该病例通过非手术方法成功治愈。一名出生2小时的男性新生儿患有双侧先天性上睑外翻和严重结膜水肿，采用保守治疗，包括应用抗生素、类固醇、人工泪液滴眼液和眼膏，并结合用生理盐水浸湿的纱布覆盖暴露的结膜。治疗在第14天取得了迅速且令人满意的效果。先天性上睑外翻通常是一种罕见的临床病症，在非洲人群中报道更为频繁。尽管这种不良情况可能会导致如视力丧失等破坏性并发症，但通过传统方法可以有效实现合理的解剖学结果和良好的美容效果。因此，应进行全面的眼部检查以排除其他眼部或全身并发症。
