Ankyloblepharon Filiforme Adnatum: A Case Report

Introduction: Ankyloblepharon filiform adnatum (AFA) is defined by partial or complete fusion of the eyelids by webs of skin. It can be interest a part of the eyelid or its totality. Diagnosis should be done at an early stage of life. It is basically surgical. Case information: We describe a male new born at his twentieth day of life was referred for assessment of his both right and left eyelids. His was born on term. Pregnancy and delivery went normally. However there were first degree consanguinity. The baby was healthy apart from multiples bands of tissue between upper and lower eyelids of both of his eyes. These bands were axial, covering the pupil, and prevented full opening of both eyelids. The baby underwent surgery consisting of excising the bands of tissue with scissors at the level of each eyelid margin. Eye examination did not reveal any abnormality. Two months later, the follow up showed no anomaly. Conclusion: Ankyloblepharon filiform adnatum may be rare but it is potentially amblyogenic. However, the major practical importance of this anomaly is, perhaps, to alert the physician as to the presence of other associated congenital anomalies and the treatment should be performed as soon as the diagnosis is done.