J Korean Ophthalmol Soc > Volume 53(6); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(6):861-865.
DOI: https://doi.org/10.3341/jkos.2012.53.6.861    Published online June 15, 2012.
A Case of Congenital Eyelid Retraction.
Saem Lee, Min Ahn
Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr
선천 눈꺼풀뒤당김 1예
이 샘⋅안 민
Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea
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.
Key Words: Botulinum toxin type A;Congenital eyelid retraction

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