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ARTICLES
Year : 1977  |  Volume : 25  |  Issue : 1  |  Page : 43-44

Unilateral Ankyloblepharon filiforme adnatum


Department of Ophthalmology, Jawaharlal Institute of PostGraduate Medical Education & Research, Pondicherry, India

Correspondence Address:
Manorma S Kapoor
Department of Ophthalmology J.I.P.M.E.R. Pondicherry-6
India
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Source of Support: None, Conflict of Interest: None


PMID: 612594

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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 2020 Dec 3];25:43-4. Available from: https://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 [3] , Wata­nabe [14] collected 29 cases from the literature. A few more reports on this anomaly have appeared recently. [4],[10] 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 Top



  Discussion Top


Ankyloblepharon filliforme adnaturn repre­sent congenital vascularized connective tissue bands surrounded by stratified squamous epi­thelium. Various theories have been propagated to explain its genesis, Hasner [3] attributed it to intrauterine inflammation and Wintersteiner [15] to intrauterine finger nail trauma by the foetus. Judge [5] 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 [7],[12] , hare lip and cleft palate. [8],[11] 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 [4] has been reported.


  Summary Top


A case of unilateral ankyloblepharon fili­form adnatum is reported which was associated with cleft palate.

 
  References Top

1.
Ehlers, N. and Jensen, I.K., 1970, Acta Ophthal., 48,465.  Back to cited text no. 1
    
2.
Gupta, S.P. and Saxena, R.C., 1962, Jour. All India Ophthal. Soc., 10, 19.  Back to cited text no. 2
    
3.
Hasner, V., 1881, Ztsch. F. Augenh, Prague, 2, 429.  Back to cited text no. 3
    
4.
Howe, J. and Harcourt, B., 1974, Brit. Jour. Oph­thal., 58, 630.  Back to cited text no. 4
    
5.
Judge, H.W., Mott, W.C. and Gabriels, J.A.C., 1929. Arch. Opthal , 2, 702.  Back to cited text no. 5
    
6.
Khanna, V.D., 1957, Amer. Jour. Ophthal., 43, 774.  Back to cited text no. 6
    
7.
Lobstein, A. and Harscher, A., 1953. Bull. Soc. Frac. Ophthal., 2, 128.  Back to cited text no. 7
    
8.
Long, J.C. and Blandford, S.E., 1962, Amer. Jour. Ophthal., 53, 126.  Back to cited text no. 8
    
9.
Lohlein, W., 1930, Kuruz Handbuch der Opthal­rnologie III, Berlin, Springer, 252.  Back to cited text no. 9
    
10.
Mathew, M. and Chawla, G., 1972, Orient. Arch. Ophthal., 10, 322.  Back to cited text no. 10
    
11.
Pahwa, J.M. and Sud, S.D., 1966, Orient. Arch. Ophthal., 4, 170.  Back to cited text no. 11
    
12.
Rogers, J.W., 1961, Arrh. Ophthal., 65, 144.  Back to cited text no. 12
    
13.
Sood, N.N., Agarwal, J.P. and Ratanraj, A., 1968, J. Pediat. Ophthal., 5, 30.  Back to cited text no. 13
    
14.
Watanabe, J., Yato, T., Mlyake, Y. and Asano, T, 1970. Acta Ophthal., 74, 537.  Back to cited text no. 14
    
15.
Wintersteiner, H., 1908, Arch. f. Augenh., 59, 196.  Back to cited text no. 15
    


    Figures

  [Figure - 1], [Figure - 2]



 

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