The importance of collaboration among physicians.

摘要

A male neonate was referred for assessment of his left eyelids. He was born at term, to a primigravid mother, weighing 3150 g. Pregnancy and delivery were unremarkable. There was no family history of ophthalmic or systemic disease. A detailed systemic assessment by a paediatrician was clear.Ocular examination showed partial fusion of his left upper and lower eyelids by a central, narrow band of tissue, arising from the grey lines (Figure 1). Full eyelid opening was impaired and interpalpebral aperture was limited to 3.5 mm. Right eye examination was normal. The band of tissue was retracted anteriorly with a squint hook, clamped for 10 s, and excised with Vannas scissors at the level of each eyelid margin. The procedure was performed under corneal anaesthesia using benoxinate 0.4%. There was no sign of distress and no bleeding. Subsequent left eye examination did not reveal any other pathology. At 2 years' follow up, logMAR visual acuity was +0.1 in both eyes and examination was normal.