| Surgical Repair of Canalicular Defects and Congenital Eyelid Colobomas Associated with Tessier No. 3 Cleft. |
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Sung Wook Park, Nam Ju Kim, Ho Kyung Choung, Sang In Khwarg |
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea. resourceful@hanmail.net
2Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.
3Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea. |
| 제3형 머리얼굴틈새와 동반된 양안 선천눈꺼풀결손과 눈물소관결손의 수술적 복원 1예 |
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박성욱1ㆍ김남주1,2ㆍ정호경1,3ㆍ곽상인1 |
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Department of Ophthalmology, Seoul National University College of Medicine, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute1, Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital2, Seongnam, Korea Department of Ophthalmology, Seoul National University Boramae Hospital3, Seoul, Korea |
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Correspondence:
Canalicular defect, Craniofacial cleft, Eyelid col |
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| Abstract |
PURPOSE
To report a single case of surgical repair of the canalicular defects and congenital eyelid colobomas associated with Tessier No. 3 craniofacial cleft. CASE SUMMARY: A one-month-old girl presented with eyelid colobomas and discharges from the eyes. The patient was diagnosed with a Tessier No. 3 craniofacial cleft with bilateral lower eyelid colobomas medial to the puncta. At the age of 55 months, examination under general anesthesia revealed mid-canalicular obstructions in both lower canaliculi. After pentagonal excision of eyelid colobomas in the left upper and both lower eyelids, both ends of the canaliculi were found at the cut edge of the lower eyelids. After the repair of canalicular defects and bilateral nasolacrimal duct silicone tube intubation, the primary closure of the eyelid defect was performed layer by layer. Although there was no subjective improvement of epiphora in the left eye, a subjective improvement of epiphora in the right eye was achieved, and tear meniscus height in the right eye was halved. Additionally, the eyelid colobomas were cosmetically well repaired at postoperative 6 weeks. The patient still had mild tearing symptoms, but did not complain any longer of discharge at postoperative 4 months. CONCLUSIONS: Tessier No. 3 craniofacial cleft with eyelid colobomas can be associated with canalicular defects and nasolacrimal duct obstructions. Surgical repair of the canalicular defects associated with eyelid colobomas should be considered to achieve a functional recovery of the lacrimal drainage system. |
| Key Words:
Canalicular defect;Craniofacial cleft;Eyelid coloboma;Symblepharon;Tessier No. 3 |
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