|Year : 1977 | Volume
| Issue : 1 | Page : 43-44
Unilateral Ankyloblepharon filiforme adnatum
Manorma S Kapoor, GC Sood, AL Aurora, Shashi Kapoor
Department of Ophthalmology, Jawaharlal Institute of PostGraduate Medical Education & Research, Pondicherry, India
Manorma S Kapoor
Department of Ophthalmology J.I.P.M.E.R. Pondicherry-6
|How to cite this article:|
Kapoor MS, Sood G C, Aurora A L, Kapoor S. Unilateral Ankyloblepharon filiforme adnatum. Indian J Ophthalmol 1977;25:43-4
|How to cite this URL:|
Kapoor MS, Sood G C, Aurora A L, Kapoor S. Unilateral Ankyloblepharon filiforme adnatum. Indian J Ophthalmol [serial online] 1977 [cited 2013 May 23];25:43-4. Available from: http://www.ijo.in/text.asp?1977/25/1/43/34603
Ankyloblepharon filliforme adnatum is a rare congenital anomaly wherein the lid margins remain attached by connective tissue bands. The bands are extensile and are situated behind the eyelash line and in front of the openings of meibomian ducts.
Since the description by Hasner  , Watanabe  collected 29 cases from the literature. A few more reports on this anomaly have appeared recently. , We are reporting this case because of the rarity of the anomaly and its association with cleft palate without cleft lip.
A seven-day-old baby was brought to the hospital with inability to open the left eye.
The examination showed five filamentous bands attaching the two lid margins in the left eye. [Figure - 1]
The bands were extensile and were situated between the eyelash line and the openings of the meibomian ducts. The size of the bands varied between 0.2-0.4 x 0.8-0 9 cms. There was no other anomaly of the two eyes.
The systemic examination showed cleft palate. There was no abnormality of the lips or any other body tissue including the heart.
The bands were excised and subjected to microscopic examination. The histopathological examination showed a small central care of vascularized connective tissue surrounded by stratified squamous epithelium [Figure - 2].
| Case Report|| |
| Discussion|| |
Ankyloblepharon filliforme adnaturn represent congenital vascularized connective tissue bands surrounded by stratified squamous epithelium. Various theories have been propagated to explain its genesis, Hasner  attributed it to intrauterine inflammation and Wintersteiner  to intrauterine finger nail trauma by the foetus. Judge  suggested it to be a developmental aberration due to a temporary arrest in the growth of epithelium or a rapid proliferation of the mesenchyme resulting in the union of two lids without epithelial interposition.
The conditon can be associated with congenital anomalis like patent ductus arteriosus , , hare lip and cleft palate. , Its association with cleft palate has aroused much attention which is probably the result of failure in fusion of maxillary palatal processes. A foetal insult in the eighth or ninth week of gestation can explain the common occurence of cleft palate and ankyloblepharon filiforme.
The condition needs surgical excision because it restricts mobility of the lids, prevents from seeing and consequently leads to the development of head posture, though spontaneous regression in the twins  has been reported.
| Summary|| |
A case of unilateral ankyloblepharon filiform adnatum is reported which was associated with cleft palate.
| References|| |
|1.||Ehlers, N. and Jensen, I.K., 1970, Acta Ophthal., 48,465. |
|2.||Gupta, S.P. and Saxena, R.C., 1962, Jour. All India Ophthal. Soc., 10, 19. |
|3.||Hasner, V., 1881, Ztsch. F. Augenh, Prague, 2, 429. |
|4.||Howe, J. and Harcourt, B., 1974, Brit. Jour. Ophthal., 58, 630. |
|5.||Judge, H.W., Mott, W.C. and Gabriels, J.A.C., 1929. Arch. Opthal , 2, 702. |
|6.||Khanna, V.D., 1957, Amer. Jour. Ophthal., 43, 774. |
|7.||Lobstein, A. and Harscher, A., 1953. Bull. Soc. Frac. Ophthal., 2, 128. |
|8.||Long, J.C. and Blandford, S.E., 1962, Amer. Jour. Ophthal., 53, 126. |
|9.||Lohlein, W., 1930, Kuruz Handbuch der Opthalrnologie III, Berlin, Springer, 252. |
|10.||Mathew, M. and Chawla, G., 1972, Orient. Arch. Ophthal., 10, 322. |
|11.||Pahwa, J.M. and Sud, S.D., 1966, Orient. Arch. Ophthal., 4, 170. |
|12.||Rogers, J.W., 1961, Arrh. Ophthal., 65, 144. |
|13.||Sood, N.N., Agarwal, J.P. and Ratanraj, A., 1968, J. Pediat. Ophthal., 5, 30. |
|14.|| Watanabe, J., Yato, T., Mlyake, Y. and Asano, T, 1970. Acta Ophthal., 74, 537. |
|15.||Wintersteiner, H., 1908, Arch. f. Augenh., 59, 196. |
[Figure - 1], [Figure - 2]