Congenital Total Eversion of Upper Eyelids in a Newborn with Down’s Syndrome- Case Report

International Journal of Research in Health Sciences,2014,2,1,350-352.
Published:January 2014
Type:Case Report
Author(s) affiliations:

Nagesha C. K1, Ashish K. Deb2, Chanchal Poddar3

1-Assistant professor, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka, INDIA.

2-Associate professor, Silchar Medical college and Hospital, Silchar, Assam, INDIA. 

3-Postgraduate, Silchar Medical College and Hospital, Silchar, Dept of Ophthalmology, INDIA.


Congenital eversion of the upper eyelids in Down’s syndrome is a rare condition associated with serious sociopsychological consequences. We report congenital eversion of both upper eyelids in neonate with Down’s syndrome and secondary conjunctival chemosis and prolapse managed with 5% hypertonic normal saline, lubricants and antibiotics. Complete eye opening achieved after 5 weeks from the presentation and condition is totally resolved. Pediatrician’s assessment of the child is very important to rule out associated congenital anomalies. Non-invasive management of congenital eyelid eversion was found to be effective with no need for surgical management

Complete resolution in both eyes by 5 weeks.