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. 2010;3(1):69-72.
doi: 10.3980/j.issn.2222-3959.2010.01.16. Epub 2010 Mar 18.

Surgical outcome of 21 patients with congenital upper eyelid coloboma

Arshad Ali Lodhi  1 , Sameen Afzal Junejo, Mahtab Alam Khanzada, Imran Akram Sahaf, Zahid Kamal Siddique
Affiliations

Surgical outcome of 21 patients with congenital upper eyelid coloboma

Arshad Ali Lodhi et al. Int J Ophthalmol. 2010.

Abstract

Aim: To evaluate the surgical outcome of congenital upper eyelid coloboma repair.

Methods: All patients underwent complete ophthalmic and general examination before going to surgery, and then examination under anesthesia was performed to assess the site and size of eyelid defect, conjunctival involvement. The status of cornea and ocular motility with forced duction test was also being noted. The surgical procedure was performed according to the size of defect.

Results: Out of 21 cases of congenital upper eyelid coloboma, 18 occurred in isolation with upper eyelid medial defect, 13 were bilateral and 5 were unilateral. Others were associated with Goldenhar syndrome and CHARGE syndrome with bilateral upper lid medial defects. All patients were presented for surgical corrections during age of 2.5-4.0 years except one that presented at 25 years of age. Cosmetically surgical results were acceptable, except one that was already presented with opaque corneal.

Conclusion: In this study, overall surgical results were satisfactory except one that was presented late with compromised cornea.

Keywords: coloboma; surgical outcome; upperlid congenital.

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Figures

Figure 1
Figure 1. Direct closure of bilateral upper lid medial two thirds full thickness coloboma
Figure 2
Figure 2. Cutler beard procedure
Figure 3
Figure 3. Cutler beard procedure,CHARGE syndrome
Figure 4
Figure 4. Direct closure of left upper lid less than medial one fourth full thickness coloboma
Figure 5
Figure 5. Direct closure of bilateral upper lid medial one fourth full thickness coloboma
Figure 6
Figure 6. Bilateral upper lid medial two thirds full thickness coloboma
Figure 7
Figure 7. Bilateral upper lid medial one third full thickness coloboma
Figure 8
Figure 8. CHARGE syndrome, bilateral upper lid medial two third thickness coloboma
See this image and copyright information in PMC

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