Congenital eyelid colobomas in 51 patients

J Pediatr Ophthalmol Strabismus. 2009 May-Jun;46(3):151-9. doi: 10.3928/01913913-20090505-06.


Purpose: To review the clinical observations in the management of congenital eyelid coloboma.

Methods: Fifty-one cases of congenital eyelid colobomas including the functional and cosmetic rehabilitation of patients who were treated over a period of 18 years with an average follow-up of 4.7 years were retrospectively reviewed.

Results: Thirty-eight patients had an upper eyelid coloboma and 13 patients had a lower eyelid coloboma. Systemic associations included Goldenhar syndrome and Treacher-Collins-Franceschetti syndrome. Twenty-two patients with upper eyelid colobomas underwent surgery by direct apposition, eyelid sharing procedures, or a lateral rotation flap. Lower eyelid colobomas were repaired in 4 patients.

Conclusion: Gratifying cosmetic and functional results could be achieved in all 26 patients who underwent surgery.

MeSH terms

  • Adolescent
  • Adult
  • Blepharoplasty
  • Child
  • Child, Preschool
  • Coloboma / complications*
  • Coloboma / surgery
  • Eyelids / abnormalities*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Retrospective Studies
  • Young Adult