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Chapter-48 Congenital Eyelid Abnormalities and their Surgical Management

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Grover AK
2. Bageja Shaloo
ISBN
9789350251485
DOI
10.5005/jp/books/11282_48
Edition
1/e
Publishing Year
2011
Pages
10
Author Affiliations
1. Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, Sir Ganga Ram Hospital, New Delhi; Vision Eye Centre, New Delhi, India, Sir Ganga Ram Hospital and Vision Eye Center, New Delhi, India, Sir Ganga Ram Hospital; Vision Eye Center, New Delhi, India, Sir Gangaram Hospital, Rajender Nagar, New Delhi, India, Sir Gangaram Hospital, New Delhi, Sir Ganga Ram Hospital, New Delhi, India, Sir Ganga Ram Hospital, Director, Vision Eye Clinic, 12/27, West Patel Nagar, Near Arya Samaj Mandir, New Delhi, India, Sir Ganga Ram Hospital, Rajender Nagar, New Delhi, India, Ganga Ram Hospital, New Delhi, India, Sir Ganga Ram Hospital, Rajinder nagar, New Delhi, India, Department of Ophthalmology, Sir Gangaram Hospital, Rajinder Nagar, New Delhi, India
2. Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India, Sir Ganga Ram Hospital, Rajender Nagar, New Delhi, India, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi (India), Vision Eye Clinic, 12/27, West Patel Nagar, Near Arya Samaj Mandir, New Delhi, India, Sir Gangaram Hospital, Rajender Nagar, New Delhi, India, Sir Ganga Ram Hospital, New Delhi, India
Chapter keywords

Abstract

Eyelids are essential in maintaining the integrity of the ocular system as it helps to keep the cornea moist by distribution of tears and protects eyeball against injury. The eyelid abnormalities are broadly divided into two groups congenital and acquired. Congenital eyelid disorders may be isolated or may be associated with other facial or systemic anomalies. The important ones are cryptophthalmos, coloboma, ankyloblepharon, congenital ectropion, entropion, epiblepharon, distichiasis, euryblepharon, telecanthus and congenital ptosis. The treatment in most of the cases is surgical and skin grafting. In congenital tumors pigmented lesions, dermoid and epimedium cyst and angiomatous tumors are common. Acquired abnormalities of eyelid can be due to eyelid trauma and its sequelae or inflammatory and infective disorders. Eyelid trauma is commonly encountered following birth injuries, automobile accidents, fall, sports injuries, child abuse and chemical injuries. Blepharitis, stye, chalazion, internal hordeolum, molluscum contagiosum are the inflammatory disorders. They are managed by hot fomentation, antibiotic drops or creams, analgesics. Patient’s cooperation is a limitation for adequate assessment in pediatric age group. Careful planning of management is required. Cosmetic consideration is also critical for child’s psychological development.

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