Congenital Eversion of the Eyelids of Newborns in Bouaké
DOI:
https://doi.org/10.5281/hra.v2i12.6262Keywords:
congenital, eversion, ichtyosis, eyelidsAbstract
RÉSUMÉ
L’éversion congénitale des paupières est rare. Le diagnostic est essentiellement clinique. Le traitement est d’abord conservateur et le pronostic est bon si la prise en charge est faite tôt. Nous rapportons deux cas d’éversion congénitale des paupières reçu au service d’ophtalmologie du CHU de Bouaké. Notre premier cas était une fillette présentant une malformation des paupières supérieures et une desquamation cutanée généralisée. Le second cas était un nouveau né de sexe masculin présentant une tuméfaction palpébrale supérieure unilatérale droite, constatée à la naissance. L’examen à l’aide d’un blépharostat, après instillation de collyre anesthésique a montré chez les deux patients des globes oculaires d’aspects normaux. La prise en charge de nos patients consistait en l’application sous la paupière d’une pommade ophtalmique faite d’antibiotique et de corticoïde, en association fixe, puis de faire un repositionnement des paupières en position anatomique et enfin d’effectuer un pansement occlusif des paupières. L’évolution était favorable deux semaines après le début du traitement chez les 2 enfants.
ABSTRACT
Congenital eversion of the eyelids is rare. Diagnosis is essentially clinical. Treatment is initially conservative and the prognosis is good if treatment is started early. We report two cases of congenital eversion of the eyelids in the ophthalmology department of Bouaké University Hospital. Our first case was a young girl with malformation of the upper eyelids and generalized desquamation of the skin. The second case was a male neonate with unilateral right upper palpebral swelling at birth. Examination using a blepharostat, after instillation of anaesthetic eye drops, showed normal-looking eyeballs in both patients. The management of our patients consisted of applying an ophthalmic ointment containing antibiotics and corticosteroids in a fixed combination under the eyelid, then repositioning the eyelids in an anatomical position and finally applying an occlusive dressing to the eyelids. Both children progressed favourably two weeks after the start of treatment.
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Copyright (c) 2024 Koffi KF-H, Goulé AM, Bilé PEFK, Diomandé GF, Diabaté Z, Godé L, Babajeyu RLO, Koffi KAP, Ouattara Y, Diomandé IA
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