A Case Report of Congenital Eyelid Defect without Any Other Deformities.

Moon, Jae Won; Yang, Jeong Yeol

Case Report

Journal of Korean Cleft Palate-Craniofacial Association 2008;9(2):90-92.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea. jyyang@chosun.ac.kr

Abstract

PURPOSE
Congenital upper eyelid defect is rare anomaly whether it is compared with syndromic anomaly or not. It has many clinical manifestation in the extent, location. Many operation procedures such as simple closure, semicircular rotation flap, Cutler Beard procedure, lower lid rotation flap, etc can be used to reconstruct eyelid defects. We intend to introduce a simple, congenital eyelid defect which was not compared with syndromical anomaly, ophthalmic complication. METHODS: Our experience is a case of 19 years old female who had a upper eyelid coloboma without any other anomalies. we could not find any skeletal deformity in orbital CT scan. she had no ophthalmic problem. we reconstructed the defect with bilateral marginal flap after deepithelization of supramarginal area and tarsal reposition.
RESULTS
There were no visible deformity of lid lining. postoperative scar was favorable. satisfactory results were obtained in cosmetic and functional aspects.
CONCLUSION
Upper lid coloboma without other anomalies is rare. we obtained satisfactory outcome as treated this rare case with marginal flap advancement.

Keywords: Upper eyelid; Coloboma