Bilateral Congenital Upper Eyelid Eversion in a Newborn: A case Report

Introduction: Congenital upper eyelid eversion is a rare ocular disorder that often presents at birth with everted and swollen eyelids. It is slightly more common among blacks, usually benign and responds remarkably to conservative management. Case report: 9-hour old male infant presented with fleshy swelling and eversion of both upper lids. No significant antenatal or postnatal history. Further ocular and systemic examination were not remarkable. He was managed with hypertonic saline guaze pack, Gutt salacyn (5% Sodium Chloride ophthalmic solution), Gutt gentamicin and Occ. chloramphenicol. Significant reduction in swelling and return of lids to normal anatomical position were noticed within 3 days of treatment. Full recovery occurred in about 2 weeks. Discussion: The patient presented with bilateral congenital upper eyelid eversion which is the common presentation, although a few unilateral cases have been reported. Exact aetiology is usually unknown just as we have noted in the index case. However, thorough ocular and systemic examination is important to rule out probable causes. Treatment with hypertonic saline eye pack, salacyn eye drops and antibiotics resulted in excellent resolution of symptoms. Conclusion: Congenital upper lid eversion is uncommon ocular presentation that may cause. However, it responds remarkably to conservative treatment which should be initiated early to prevent infection and desiccation of exposed conjunctiva.