Multidisciplinary management of ankyloblepharon filiforme adnatum

BMJ Case Rep. 2020 Jul 1;13(7):e234249. doi: 10.1136/bcr-2020-234249.

Abstract

A female infant born at 41+6 weeks via emergency caesarean section due to failure to progress and maternal sepsis was found to have a small fibrous band connecting the upper and lower eyelids of the right eye. This was diagnosed as ankyloblepharon filiforme adnatum. The child was investigated for multisystemic malformations by the paediatric department, but none were found, and the partially fused right eyelid was dissected using microsurgical scissors to allow full opening of the eye. We summarise the management of a rare oculoplastic disorder.

Keywords: cardiovascular medicine; congenital disorders; head and neck surgery; ophthalmology; plastic and reconstructive surgery.

Publication types

  • Case Reports

MeSH terms

  • Anesthetics, Local / therapeutic use
  • Cleft Lip / diagnosis
  • Cleft Lip / surgery*
  • Cleft Palate / diagnosis
  • Cleft Palate / surgery*
  • Eye Abnormalities / diagnosis
  • Eye Abnormalities / surgery*
  • Eyelids / abnormalities
  • Eyelids / surgery*
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Lidocaine / therapeutic use
  • Ophthalmologic Surgical Procedures / methods
  • Treatment Outcome

Substances

  • Anesthetics, Local
  • Lidocaine

Supplementary concepts

  • Ankyloblepharon filiforme adnatum