Sunday, November 9, 2008

- Development of eye lids.

Development of eye lids

Time :

Begins during 6th week.


1- Eye lids develop from two folds of skins over the

cornea during 6th week.

2- Eye lids adhere to each other by the beginning of 10th week

& remain adhered till 26th to 28th weeks.

Congenital anomalies:

usually congenital anomalies appear together

to give a syndrome.

1-congenital ptosis:-

cause: failure of development of levator palpebrea

superioris muscle.

- It may be simple( alone).

- It may be associated eith other lid deformities or

congenital opthalmoplegia.

- it is usually bilateral & hereditary.

2- Epicanthus:

- is a semilunar skin fold at the side of the nose

covering the medial canthus & the caruncle leading

to false convergent squint.

3- Telecanthus:

increased distance () two
medial canthi.


-Diminution of the horizontal width of the palpebral

fissure from 25-30 mm (normal) to 18-22mm without

pathologic changes in the eyelids.

- It is rare & usually asscociated in

Blepharo-phimosis syndrome.

5-Blepharo-phimosis syndrome:

presence of congenital ptosis,Epicanthus,

elecanthus & Blepharo-phimosis with each other.

6- Congenital trichiasis ( distichiasis)

- rare condition.

- In which abnormal extra raw of lashes replacing white line.

7- Congenital entropion:

- rare with micropthalmos.

8- Congenital ectropion:

- rare with Blepharo-phimosis syndrome.

9- coloboma of the eye lids:

- It is triangular , quadrilateral or

irregular shaped defect of the lid margin.

10- Epiblepharon:

-horizontal redundant medial fold of skin of the

eye lid inducing vertical orientation of the cilia.

-Epiblepharon may co exist with entropion.

-It usually imrpoves by age as the eyelid skin stretches.

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