Congenital Eyelid Imbrication and Floppy Eyelid Syndrome in a Patient With Cat Eye Syndrome. Issue 2 (13th October 2021)

• Record Type: Journal Article
• Authors: Kozlova, Anna; DeMaria, Lauren N.; Tran, Ann Q.; North, Victoria S.; Belinsky, Irina
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 38:Issue 2(2022)
• Page Start: e36
• Page End: e38
• Publication Date: 2021-10-13
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000002074
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : A newborn male with cat eye syndrome presented with progressively worsening bilateral upper eyelid imbrication, floppy eyelids, and ptosis. Despite conservative management, he remained unable to open his eyelids. Surgical correction was planned to prevent bilateral sensory deprivation amblyopia and was delayed until 5 months of age due to systemic health concerns. Bilateral full-thickness wedge excision and frontalis suspension with silicone rods in a double rhomboid fashion was performed. Postoperatively, the patient demonstrated spontaneous eyelid opening, resolution of spastic eversion of the upper eyelids, and adequate eyelid closure. The authors present the first case of concurrent floppy eyelid syndrome and upper eyelid imbrication reported in a cat eye syndrome patient. Abstract : A pediatric patient with cat eye syndrome presented with the first concurrent case of floppy eyelid syndrome and upper eyelid imbrication, which was repaired with a wedge resection and double rhomboid silicone rod fixation.