Isolated bileteral upper lid coloboma a case report

Abstract

Congenital upper lid colobomas may be associated with ocular and systemic anomalies. This paper reports an isolated bilateral upper lid coloboma. A report of a case of bilateral upper lid coloboma with discussion of relevant literature. A 5-month old healthy baby girl presented with isolated bilateral upper lid coloboma. The coloboma was as large as two thirds of each upper lid with symblepharon. She had no other associated congenital anomalies reported by various workers. The upper lid defect in each eye was repaired in two stages. She had a flap from the lower lid using the lid switch technique and flap separation 2 weeks after the first surgery, in a combined surgery by a plastic surgeon and ophthalmologists. A good functional and cosmetic result was achieved from the treatment. The patient was discharged five days after the second surgery. This case shows that lid coloboma could be an isolated problem in a child. Early and appropriate surgical intervention is necessary for good visual and functional outcome.