Congenital Upper Eyelid Coloboma: Clinical and Surgical Management

Table 1

Summary of cases.

Sex	Age	Ocular manifestations	Systemic manifestations	Surgical treatment
Male	17 days	Bilateral upper eyelid coloboma involving the medial two-thirds of the upper eyelid; Telecanthus; Conjunctival dermoid cyst; Symblepharon	Nasal hypoplasia	Tenzel’s semicircular flap; Canthotomy + cantholysis
Female	9 years	Unilateral upper eyelid coloboma involving the medial one-half of the right eye; Symblepharon; Corneal leukoma; Esotropia; Euryblepharon; Lagophthalmos	Madarosis; Aberrant anterior hairline; Absent right eyebrow	Lateral Rectus resection + medial rectus recession; Mustarde rotational flap
Male	1 month	Unilateral upper eyelid coloboma involving the medial one-third of the left eye	Bifid nose; Ogival palate; Abnormal palmar creases; Imperforate anus	Tenzel’s semicircular flap
Male	5 months	Bilateral upper eyelid coloboma involving the medial one-third of the right eye and small notch in the left eye; Limbal dermoid cyst in the left eye	Goldenhar syndrome; Bilateral preauricular appendages	Tenzel’s semicircular flap; Canthotomy + cantholysis