Raab E L, Saphir R L
J Pediatr Ophthalmol Strabismus. 1985 Jul-Aug;22(4):125-8. doi: 10.3928/0191-3913-19850701-03.
Eversion of the lids at birth is a rare condition of debated etiology. It has been attributed most frequently to birth trauma or to congenital lid hypotonia. Most reported cases have been treated by immediate taping of the lids or by surgery (tarsorraphy, intermarginal sutures, and/or plastic procedures). A prominent association with Down's syndrome has been noted. We report a normal infant, born by Caesarean section, with bilateral upper eyelid eversion which subsided spontaneously after treatment only with lubricants. A prominent spastic ectropion component was observed. Lid laxity appeared to be an effect rather than a cause of the eversion, and disappeared as the condition improved. Management should take into account the duration of total occlusion caused by this abnormality.
出生时眼睑外翻是一种病因存在争议的罕见病症。其最常被归因于产伤或先天性眼睑张力减退。大多数报告的病例已通过立即粘贴眼睑或手术（睑缘缝合术、边缘间缝合术和/或整形手术）进行治疗。已注意到与唐氏综合征有显著关联。我们报告一例通过剖宫产出生的正常婴儿，患有双侧上睑外翻，仅使用润滑剂治疗后自行消退。观察到有明显的痉挛性睑外翻成分。眼睑松弛似乎是外翻的结果而非原因，并且随着病情改善而消失。治疗应考虑这种异常导致的完全睑闭合持续时间。
