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

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