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Lee and Ahn: A Case of Congenital Eyelid Retraction
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(6): 861-865.

Published online: 16 June 2012

DOI: https://doi.org/10.3341/jkos.2012.53.6.861

A Case of Congenital Eyelid Retraction

Saem Lee, MD, Min Ahn, MD, PhD

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea.

Address reprint requests to Min Ahn, MD, PhD. Department of Ophthalmology, Chonbuk National University Hospital, #20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Korea. Tel: 82-63-250-1878, Fax: 82-63-250-1960, ahnmin@jbnu.ac.kr

Received 14 September 2011       Accepted 29 April 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To report a case of congenital eyelid retraction with eyelid asymmetry.

Case summary

12-year-old male patient visited our clinic with eyelid asymmetry, which had found 6 months after birth. On examination, his marginal reflex distance (MRD1) was 4.0 mm for right eye, and 7.5 mm for left eye. There was no significant notice from orbital computed tomography or laboratory findings and other factors that might have caused eyelid retraction were not found. As treatment, Botulinum toxin type A was injected under the upper tarsal conjunctiva. The upper eyelid retraction was relieved to MRD1 = 4.0 mm after 1 week and MRD1 = 5.5 mm after 1 month. This case was diagnosed as congenital eyelid retraction of upper eyelid.

Conclusions

Diagnosis of congenital eyelid retraction should be considered to patients with eyelid asymmetry, and the symptom can be relieved with Botulinum toxin type A injection.

Keywords: Botulinum toxin type A, Congenital eyelid retraction

Figures and Tables

Figure 1
The child showed left eyelid retraction, 6 years ago (A). The patient shows upper eyelid retraction on examination (B).
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Figure 2
Photographs of 9 cardinal gazes on examination. No limitation of eyeball movement.
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Figure 3
Axial (A) and coronal (B) CT images show no evidence of abnormalities.
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Figure 4
Upper eyelid retraction in the left eye (A) before botulinum toxin injection. (B) One week after botulinum toxin injection. (C) One month after botulinum toxin injection.
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