Conservative Management of Congenital Unilateral Eyelid Ectropion in a 3-day-old Neonate in Jos North-Central Nigeria

BACKGROUND: Congenital ectropion is a rare congenital eyelid eversion with chemosis. It is twice more common in males. We report a case of congenital unilateral eversion of the upper eyelid with severe chemosis that was successfully managed conservatively. AIM: The case is being reported for its rarity, demonstrating effectiveness of conservative management with 3% hypertonic saline. Also to create awareness of the diseases and ease of management amongst health workers. CASE PRESENTATION: The patient was a 4 day old female child with a congenital unilateral eversion of the right upper eyelid and severe chemosis following uneventful delivery. Patient was also noticed to be febrile, but no other physical or systemic anomaly. A conservative treatment approach was used which consisted of the application of antibiotics eye drop and ointment and padding of the eye with 3% hypertonic saline soaked gauze. The eyelid reverted spontaneously after 3 days and the condition was completely resolved without complications. CONCLUSION: Congenital eyelid eversion is a benign condition that excellently responds to conservative treatment. Creating awareness of its existence and treatment approach amongst health workers is essential.