A12-h-old femaleinfant was referred to our tertiary care hospitalfromanother hospitalfor the management ofeversion of both uppereyelids. Thefull-termneonate was born by cesarean section for failed induction oflabor. On ocularexamination, her uppereyelids weretotally everted (lefteyemorethan therighteye) with severeconjunctivalchemosisand greenish dischargesuggestive ofsecondary infection [Figure 1]. After instillation of0.5%proparacaineeye dropsand usingDesmarre's lid retractor, theanterior segment wasexamined whichwas normalwith negativefluoresceinstaining ofthecornea. On laboratory testing, the neonate had C- reactive proteins (CRP) level of 5.1 mg/dL. Elevated totalleukocytecount(17,000/μL) with raised total(10.2 mg/dL)and indirect bilirubin (9.46 mg/dL) levels. The neonate wasadmitted to the neonatalintensivecare unit(NICU) for neonatalsepsisand hyperbilirubinemia. The babywas started on systemicantibioticsand phototherapy. For ocular pathology, manualeversionwas tried withoutany success. After that, magnesiumsulfatesoaked dressings were given to reducechemosis but there was no positiveresponse. So, wetried 5%hypertonic NaClsoaked dressingsevery 6 h. This resulted in areduction in chemosis fromday 2 and on day 6 thechemosis wascompletely reduced with normalclosure oftheeyelid [Figure 2].
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