J Korean Ophthalmol Soc.  2013 Apr;54(4):659-661. 10.3341/jkos.2013.54.4.659.

Ankyloblepharon Filiforme Adnatum : a Case Report

• Kong MG
• Lee MG
• Kim JH
• Lee JH
• Woo KI
• Kim YD

• KMID: 2216950
• DOI: http://doi.org/10.3341/jkos.2013.54.4.659

Abstract

PURPOSE
To report a case of ankyloblepharon filiforme adnatum in a newborn male.
CASE SUMMARY
A 4-day-old male was referred for fused right eyelids with unremarkable other pediatric examinations. Ocular examination under general anesthesia revealed partial fusion of his right upper and lower eyelids by a 4 mm-wide band of tissue which arose from the skin of the upper and lower eyelids. The adhesion was separated by sharp scissors and no other ocular abnormalities were revealed.
CONCLUSIONS
Ankyloblepharon filiforme adnatum is a rare congenital malformation. In this case, the band of tissue connecting the upper and lower eyelids arose not from the eyelid margin but from the eyelid skin, which is even rarer, thus supporting the theory that this condition is due to the fusion of eyelids at abnormal positions, and not due to problems during the separation of eyelids.

Keyword

Adhesion; Ankyloblepharon; Eyelid; Fusion

MeSH Terms

Anesthesia, General
Cleft Lip
Cleft Palate
Eye Abnormalities
Eyelids
Humans
Infant, Newborn
Male
Skin
Cleft Lip
Cleft Palate
Eye Abnormalities

Figure

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  Figure 1. An extensile band of tissue connecting the upper and lower eyelids of the right eye.

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  Figure 2. The adhesion was divided by sharp scissors without any complications. The lid margins were intact and extensile band of tissue had been attached on the skin of upper and lower eyelids.

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  Figure 3. No ophthalmologic abnormal findings were found 1 year postoperatively.

Reference

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