Congenital Anomolies - Lid Disorders
- Cryptophthalmos
- A rare failure of lid differentiation
- Skin over eye (no lids or palpebral fissure) that frequently blends in with {the} cornea which is usually malformed.
- Congenital Coloboma
- Often well tolerated Involves primarily {the} upper lid
- no keratopathy
Ankyloblepharon
- Fusion of part or all lid margin: variant: Ankyloblepharon filiforme adnatum in which {the} lid margins are connected by fine strands.
- Usually involves {the} lower lid
- Distal part of tarsus rotated inward
- Lashes abrade {the} cornea causing keratopathy
- Permanent corneal damage is uncommon
Epiblepharon
- A horizontal fold of skin adjacent to either {the} upper or lower lid Tolerated well by {the} cornea
- More commonly {the} lower lid
- Often spontaneously resolves in {the} originally years of life
- Surgery only indicated for severe cases
Congenital Tarsal Kink
- Child is born with {the} upper lid bent backwards often with a 180 degree fold in {the} upper tarsal plate
- Corneal exposure and rubbing by {the} bent edge can result in ulceration
Distichiasis
- An accessory row of lashes growing from {the} meibomian orifices or posteriorly
- The lashes are thinner, shorter, less pigmented and often well tolerated
Euryblepharon
- Enlargement of {the} lateral part of {the} palpebral aperture with downward displacement of {the} temporal 1/2 of {the} lower lid.
Epicanthus
- Crescentic fold of skin running vertically between {the} lids and overlying {the} inner canthus. There are three types:
- Inversus: If {the} fold is most prominent in {the} lower eyelid
- Tarsalis: (Most people) The fold is most prominent in {the} upper eyelid
- Palpebralis: If {the} fold is equally distributed in {the} upper and lower eyelids.
- Telecanthus
- Normal interpupillary distance but wide intercanthal distance
i.e. Waardenburg's syndrome - not: Hypertelorism, which indicates increased distance between {the}
bony orbits.
- Normal interpupillary distance but wide intercanthal distance
Blepharophimosis
- Vertically and horizontally shortened Syndrome palpebral fissures
- Epicanthus inversus
- Telecanthus
- Ptosis: with poor levator function and no lid fold
- When should {the} Ptosis be repaired?
- Frontalis slings are usually done early in life
- Repairing telecanthus and epicanthus which might possibly improve with age is delayed
Lipodermoid
- Lipodermoids are epibulbar, developmental growths of normal adipose in an abnormal site, ie. near {the} lacrimal gland and extending between {the} superior rectus and lateral rectus muscles posteriorly.
- Differentiation of benign lipodermoids from non-benign lesions is essential.
- When other ocular anomalies or systemic conditions are found in conjunction with lipodermoids then Goldenhar-Gorlin syndrome must be considered.
Procedures
- Home
- Anophthalmos
- Blepharoplasty
- Blepharospasm
- Brow Lift
- Congenital
- Dry Eye
- Eyelid Laxity
- Face
- Infections
- Inflammation
- Lacrimal System
- Lagophthalmos
- Latisse
- Locate an MD
- Orbital Tumors
- Ptosis
- Skin Rejuvenation
- Skin Tumors
- Symblepharon
- Thyroid
- Trauma