Congenital inner eyelid folds

Ophthalmic Genet. 2023 Aug;44(4):401-402. doi: 10.1080/13816810.2022.2127151. Epub 2023 Jan 13.


Background: We describe the ocular findings in two infants who were found to have unusual internal eyelid folds during routine probing for nasolacrimal duct (NLD) obstruction.

Materials and methods: Medical records review of two patients with similar eyelid folds.

Results: Both children had unusual eyelid folds that began on the inner eyelid adjacent to the lacrimal canaliculi and extended to a position near the caruncle. Both children had resolution of NLDO following routine surgery, suggesting that the eyelid anomalies were an incidental finding at the time of NLDO surgery.

Conclusion: The etiology of these unusual inner eyelid folds is not certain but may represent schisis or incomplete separation of the inner eyelid margin.

Keywords: Congential anomaly; conjunctiva; embryology; eyelid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Eyelid Diseases* / diagnosis
  • Eyelid Diseases* / surgery
  • Eyelids / surgery
  • Humans
  • Infant
  • Lacrimal Apparatus*
  • Lacrimal Duct Obstruction* / diagnosis
  • Lacrimal Duct Obstruction* / therapy
  • Nasolacrimal Duct* / abnormalities
  • Nasolacrimal Duct* / surgery
  • Retrospective Studies
  • Treatment Outcome