Primary congenital eversion of the eyelids.

Primary congenital eversion of the upper eyelids is a rare event. This dramatic neonatal disorder is bilateral, self-limited, and seems to be most common in black persons. The etiology is obscure, but difficulty during delivery may be partly causative. The ultrastructure of the affected eyelids is normal. Conservative therapy using dermatologic taping of the eyelids and ocular lubricants to protect the conjunctiva is curative.