Ankyloblepharon
A comprehensive overview of ankyloblepharon, including causes, symptoms, diagnosis, treatment, and prognosis.
Eyelid Disorder
Fusion of upper and lower eyelids
Congenital eyelid malformation
Yes
Overview
Ankyloblepharon is a rare congenital condition in which the upper and lower eyelid margins are connected by one or more bands of tissue. It may occur as an isolated finding or in association with several genetic syndromes. Early treatment helps prevent deprivation amblyopia and allows complete ocular examination.
Symptoms & Signs
- Eyelid fusion at birth
- Limited eyelid opening
- Obstructed visual axis
- Difficulty examining the globe
- Possible associated ocular anomalies
- Risk of amblyopia
Risk Factors & Associations
- Congenital anomaly
- Ankyloblepharon filiforme adnatum
- Hay-Wells syndrome
- Ectodermal dysplasia
- CHANDS syndrome
- Cleft lip/palate association
Diagnosis
- Comprehensive eye examination
- External eyelid evaluation
- Assess visual axis
- Evaluate for systemic syndromes
- Genetic consultation when indicated
Differential Diagnosis
| Condition | Distinguishing Feature |
|---|---|
| Cryptophthalmos | Absent eyelids |
| Eyelid coloboma | Eyelid tissue defect |
| Congenital ptosis | Drooping lid |
| Symblepharon | Conjunctival adhesion |
Absent eyelids.
Tissue defect.
Drooping lid.
Conjunctival adhesion.
Treatment
- Surgical separation
- Corneal protection
- Treat associated ocular abnormalities
- Amblyopia prevention
- Routine follow-up
Complications & Prognosis
- Amblyopia
- Visual deprivation
- Associated ocular anomalies
- Excellent prognosis after timely repair
Common ICD-10 Codes
| Code | Description |
|---|---|
| Q10.3 | Other congenital malformations of eyelid |
| Q87.0 | Associated craniofacial syndrome |
| H02.409 | Ptosis (differential) |
Congenital eyelid malformation
Associated syndrome
Ptosis
Frequently Asked Questions
Is ankyloblepharon present at birth?
Yes. It is a congenital anomaly recognized in the newborn period.
Is surgery usually required?
Yes, when eyelid fusion interferes with vision or ocular examination.
Medical Disclaimer
The information provided on Kardia Vision is for educational purposes only and should not replace professional medical advice. Infants with fused eyelids should receive prompt ophthalmic evaluation.