Unilateral Congenital Eyelid Eversion - A Case Report

Introduction: Congenital Eyelid eversion is an uncommon ocular disorder that usually presents at birth with everted eyelids and prolapsed conjunctiva. Management is usually conservative though recalcitrant cases can be managed surgically.
Case Report: 6 hour old female neonate with congenital eversion of the left upper eyelid following an uneventful delivery. No other ocular or systemic anomalies were noted. Baby was treated conservatively with hypertonic saline soaked gauze and topical antibiotic ointment application. There was spontaneous resolution of the eversion after 1 week.
Conclusion: Unilateral congenital eyelid eversion is a rare condition that responds excellently to conservative management. Therefore early recognition and treatment would prevent complications and reduce the need for surgical intervention.

Unilateral, Congenital, Eyelid, Eversion

1. Husna M, Annamary S, Hussein M, Salha O, Milka M. Bilateral Congenital Upper Eyelid Eversion (Ectropion): A Rare Presentation Responded Well to Conservative Treatment at Temeke Regional Referral Hospital-Tanzania Open J.Ophthalmol. 2024;14(3): DOI: 10.4236/ojoph.2024.143020 [Google Scholar] [Crossref]

2. Amadou AB, Abel ACR, Salimath M, Falilatou A, Chakiratou A, Soulé A, Lisette O, Ignace S, Sidonie T. Management of Four (4) Cases of Congenital Total Eversion of the Upper Lids using a Noninvasive Method in Northern Benin. Clin Res Ophthalmol 2019;2(1):1-3. [Google Scholar] [Crossref]

3. Adegbehingbe SA, Olubosede OA, Ibitoye BO. Case report of congenital bilateral ectropion of the upper eyelids in a 6 year old boy with Down Syndrome. West Niger J Med Sci. 2024;7(1):99–102. [Google Scholar] [Crossref]

4. Sellar PW, Bryars JH, Archer DB. Late presentation of congenital ectropion of the eyelids in a child with Down syndrome: a case report and review of the literature. J Pediatr Ophthalmol Strabismus. 1992;29(1):64–67. doi:10.3928/0191-3913-19920101-13 [Google Scholar] [Crossref]

5. Ibraheem WA. Bilateral congenital upper eyelid eversion: the clinical course and outcome of conservative management. Pan Afr Med J. 2014;17:215. doi:10.11604/pamj.2014.17.215.3967 [Google Scholar] [Crossref]

6. Chinawa NE, Odogu VK, Inyang A, John I. Bilateral Congenital Upper Eyelid Eversion in a Newborn: A case Report. Ibom Med J. 2025 Jul 1;18(3):563–565. doi:10.61386/imj.v18i3.720 [Google Scholar] [Crossref]

7. Hada M, Priyadarshini A, Upadhyay S. Congenital total eversion of the upper eyelid: report of two cases and review of literature. Indian J Clin Exp Ophthalmol. 2022 ;8(3):431–434. doi:10.18231/j.ijceo.2022.087 [Google Scholar] [Crossref]

8. Awoyesuku EA, Pedro-Egbe CN, Sibeudu OA. Congenital upper lid eversion and severe chemosis in a new born. Niger J Clin Pract. 2014;17(2):248–250. doi:10.4103/1119-3077.127569. [Google Scholar] [Crossref]

9. Sayadi J, Malek I, Abid Y, Gouider D, Mekni M, Chebbi A, et al. Case report: Severe presentation of a syndromic congenital bilateral upper eyelids eversion. Ann Med Surg. 2022;74:103279. doi:10.1016/j.amsu.2022.103279 [Google Scholar] [Crossref]

10. Okonkwo SN, Nkanga ED, Etiowo NM, Iyam JE. Management of Bilateral Congenital Upper Eyelid Eversion in a Neonate. Niger J Med. 2022;31(2):229. doi:10.4103/NJM.NJM_205_21 [Google Scholar] [Crossref]

11. Panshak T, V. Ramyil A, Maigida NB, Anyika PO, Wade P. Conservative Management of Congenital Unilateral Eyelid Ectropion in a 3-day-old Neonate in Jos North-Central Nigeria. J West Afr Coll Surg. 2022;12(1):104–106. doi:10.4103/jwas.jwas_67_22 [Google Scholar] [Crossref]

12. Farhadi R, Farrokhfar A. Unilateral congenital upper eyelid eversion in a newborn: Conservative management and outcome. Clin Case Rep. 2022;10:e05295. doi:10.1002/ ccr3.5295 [Google Scholar] [Crossref]

13. Almajed F, Alsulaiman HM, AlMadhi N, Schellini SA, Sesma G. Congenital bilateral upper lid eversion. Saudi J Ophthalmol 2020;34:324-327. [Google Scholar] [Crossref]

14. Adeoti CO, Ashaye AO, Isawumi MA, Raji RA. Non-Surgical Management of Congenital Eversion of the Eyelids. J Ophthalmic Vis Res. 2010;5(3):188–192. [Google Scholar] [Crossref]

15. Fasina O. Management of Bilateral Congenital Upper Eyelid Eversion with Severe Chemosis. J Ophthalmic Vis Res. 2013 Apr;8(2):175–178. [Google Scholar] [Crossref]

• Treasure of 6th Edition of Organon of Medicine- Lm Potency
• Neurobehavioral and Immune-Histochemical Effects of Daucus Carota Ethanolic Leaf Extract in Cadmium-Induced Toxicity of the Hippocampus and Prefrontal Cortex of Adult Wistar Rats
• Unveiling the Antimicrobial Potential of Homoeopathic Sarcode and Bowel Nosode: A Study on Histaminum and Dysenteriae Co against Escherichia Coli And Klebsiella Bacteria
• Incidence of Cardiovascular Events in Patients Receiving Hematopoietic Stem Cell Transplant (HSCT) in HCTM – (A Retrospective Cohort Study)
• A Prospective Case Study Examining the Effectiveness of Homoeopathic Medicine in Treating Degenerative Changes in the Lumbar Spine-A Case Report