Introduction. Coloboma is a Greek word, which describes the defect of all
layers of the organ, and it can be congenital or as the result of an injury,
operation, or some disease. Congenital upper eyelid coloboma is a rare
anomaly, with the unknown incidence. The size of the defect is different, but
it always involves all layers of the eyelid. This malformation is more
frequent at the upper eyelid, and unilaterally, at the junction of the medial
two thirds. Sometimes, it can also involve the eye, and may be a component of
many syndromes (Goldenhar, Fraser, Manitoba, CHARGE, Cat eye). Case report.
We are describing the case of the upper eyelid coloboma with the rare eyebrow
anomaly at the three-month old girl, and the result of reconstruction. The
baby was treated conservatively with lubricants and overnight patching.
Pentagonal excision of the defect was performed in general anesthesia. Three
layers of the eyelid were prepared: the skin, muscle and tarsoconjunctival
layer. Because of orbicularis muscle malposition, reinsertion and reposition
of the muscle fibres were performed. Then, lateral canthotomy was made and
the suture of three layers of the eyelid. Catgut suture 7-0 was used for the
conjunctiva and muscle. Nylon 6-0 was used for skin suture. Z-plasty was done
on the upper part of the pentagonal excision in order to reduce skin tension
at the suture line. The operation lasted about 60 minutes and the
hospitalization three days. The occlusive dressing was applied for two days.
The stitches were removed after seven days. The postoperative swelling of the
upper and lower eyelid disappeared in five days. There were no complications
in the postoperative period. Conclusion. The main principle of the treatment
of eyelid coloboma is surgical reconstruction of all layers of the eyelid, in
optimal period, using different surgical methods, which depends on the size
of the defect. An early diagnosis is of the greatest importance, as well as
the treatment of associated anomalies. Complications of the upper eyelid
coloboma depend on the size of the defect, presence of the eye anomalies and
the method of reconstruction. <br><br><font color="red"><b> This article has been corrected. Link to the correction <u><a href="http://dx.doi.org/10.2298/VSP1611078E">10.2298/VSP1611078E</a><u></b></font>