Congenital upper lid colobomas: management and visual outcome
- PMID: 12021649
- DOI: 10.1097/00002341-200205000-00007
Congenital upper lid colobomas: management and visual outcome
Abstract
Purpose: Congenital upper lid colobomas may be associated with ocular and systemic anomalies. The ophthalmologist's role involves both the diagnosis and management of their various ocular structural defects and management of the visual development.
Methods: All cases of congenital eyelid colobomas referred to the Singapore National Eye Centre between July 1992 and July 1995 were assessed for the extent of the eyelid defect, associated ocular anomalies, status of the cornea, and any systemic anomalies.
Results: Four infants were tested during this period. The mean follow-up was 25 months (range, 16 to 30 months). All required surgical correction of their eyelid defects before 2 years of age. The patients also had refractive errors requiring amblyopia management. Three of the babies also needed other surgical procedures.
Conclusions: Congenital upper eyelid colobomas are a potential threat to vision at an early age and a significant cosmetic blemish later in life. Early surgical intervention is usually required when the defect is larger than one third of the eyelid margin. Close monitoring of the visual development of patients with congenital upper eyelid colobomas is also essential since the risk of amblyopia in these patients is high.
Similar articles
-
Congenital upper eyelid coloboma: embryologic, nomenclatorial, nosologic, etiologic, pathogenetic, epidemiologic, clinical, and management perspectives.Ophthalmic Plast Reconstr Surg. 2015 Jan-Feb;31(1):1-12. doi: 10.1097/IOP.0000000000000347. Ophthalmic Plast Reconstr Surg. 2015. PMID: 25419956 Free PMC article. Review.
-
Surgical management of congenital eyelid coloboma.Ophthalmic Surg. 1982 Mar;13(3):212-6. Ophthalmic Surg. 1982. PMID: 7088491
-
Congenital eyelid colobomas in 51 patients.J Pediatr Ophthalmol Strabismus. 2009 May-Jun;46(3):151-9. doi: 10.3928/01913913-20090505-06. J Pediatr Ophthalmol Strabismus. 2009. PMID: 19496496
-
Pendular eyelid flap: a novel technique for the management of extensive congenital upper lid colobomas.J AAPOS. 2017 Feb;21(1):64-66. doi: 10.1016/j.jaapos.2016.08.009. Epub 2016 Oct 31. J AAPOS. 2017. PMID: 27810423
-
State of the Art in Congenital Eyelid Deformity Management.Facial Plast Surg. 2016 Apr;32(2):142-9. doi: 10.1055/s-0036-1581049. Epub 2016 Apr 20. Facial Plast Surg. 2016. PMID: 27097135 Review.
Cited by
-
Eyelid and fornix reconstruction in abortive cryptophthalmos: a single-center experience over 12 years.Eye (Lond). 2017 Nov;31(11):1576-1581. doi: 10.1038/eye.2017.94. Epub 2017 Jun 16. Eye (Lond). 2017. PMID: 28622309 Free PMC article.
-
Surgical outcome of 21 patients with congenital upper eyelid coloboma.Int J Ophthalmol. 2010;3(1):69-72. doi: 10.3980/j.issn.2222-3959.2010.01.16. Epub 2010 Mar 18. Int J Ophthalmol. 2010. PMID: 22553521 Free PMC article.
-
Nasopalpebral lipoma coloboma syndrome.Indian J Ophthalmol. 2011 Sep-Oct;59(5):379-80. doi: 10.4103/0301-4738.83615. Indian J Ophthalmol. 2011. PMID: 21836344 Free PMC article.
-
Manifestation and grading of ocular involvement in patients with Tessier number 10 clefts.Eye (Lond). 2017 Aug;31(8):1140-1145. doi: 10.1038/eye.2017.39. Epub 2017 Mar 17. Eye (Lond). 2017. PMID: 28304389 Free PMC article.
-
Congenital upper eyelid coloboma: embryologic, nomenclatorial, nosologic, etiologic, pathogenetic, epidemiologic, clinical, and management perspectives.Ophthalmic Plast Reconstr Surg. 2015 Jan-Feb;31(1):1-12. doi: 10.1097/IOP.0000000000000347. Ophthalmic Plast Reconstr Surg. 2015. PMID: 25419956 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
