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SPOT DIAGNOSIS
Year : 2019  |  Volume : 31  |  Issue : 3  |  Page : 255

A case of bilateral congenital ectropion


Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Date of Web Publication31-Dec-2019

Correspondence Address:
Dr. Amol Ganvir
Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Dr. Babasaheb Ambedkar Road, Sion, Mumbai - 400 022, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/kjo.kjo_59_19

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How to cite this article:
Ganvir A, Potdar N, Shinde CA. A case of bilateral congenital ectropion. Kerala J Ophthalmol 2019;31:255

How to cite this URL:
Ganvir A, Potdar N, Shinde CA. A case of bilateral congenital ectropion. Kerala J Ophthalmol [serial online] 2019 [cited 2020 Jan 28];31:255. Available from: http://www.kjophthal.com/text.asp?2019/31/3/255/274587



A 3-year-old male child brought by his mother to ophthalmology outpatient department referred for bilateral lower lid eversion. He was second-degree consanguineous marriage at 37 weeks of gestation through normal vaginal delivery. No adverse obstetric history was observed. According to his mother, after birth, his body covered by dry parchment-like membrane. On ocular examination, the child has bilateral upper and lower lid ectropion with thickened anterior lamella [Figure 1]. Complete loss of eyelashes bilaterally over the lower eyelid and incomplete over the upper eyelid were noted. No Meibomian gland orifices were seen. Shortened interpalpebral aperature in both eyes was identified. Bilateral lacrimal punctum was stenosed. On closing eyelid, bilateral mild lagophthalmos were present. On separating lids, conjunctival congestion was seen. The cornea appeared dry, but there was no exposure keratopathy. The anterior chamber was well formed, iris was normal in color and pattern, pupil was 3 mm round normal reacting to both direct and indirect light reflexes, and lens appeared clear. Extraocular movements were normal.
Figure 1: Bilateral upper and lower lid everted lid margin with madarosis with parchment-like scales all over head, face, and neck seen

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Identify systemic dermatology condition which can cause this?

The answer to the spot diagnosis of the previous issue: Multicolor image showing choroidal rupture

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




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