5%高渗盐水治疗印度新生儿“双眼皮外翻”。

GMS ophthalmology cases Pub Date : 2020-11-26 eCollection Date: 2020-01-01 DOI:10.3205/oc000171
Priti Bhoutekar, Dilip Kumre, Bhushan Uplanchiwar
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摘要

目的:本报告描述了一个临床罕见的先天性外翻累及双上眼睑在一天大的印度新生儿。我们强调5%高渗盐水无创保守治疗的重要性。方法:观察性病例报告结果:一个足月新生儿在第1天出现双侧上睑外翻或“双先天性外翻”,出生后阴道分娩顺利。检查发现双侧上睑结膜严重化脓和脱垂。反复尝试手动恢复眼睑的位置失败了。除此之外,眼睛是正常的。我们开始用局部高渗盐水(5%氯化钠)、局部抗生素和频繁的局部润滑剂治疗婴儿。用5%高渗生理盐水浸泡眼垫。经过5天的治疗,化疗和外翻完全消失,无复发。结论:我们提倡用5%高渗生理盐水浸泡的眼垫和外用抗生素和润滑剂进行无创保守治疗。它应该是所有先天性外翻病例的第一线治疗,然后再进行任何积极的侵入性治疗,如修复术、植皮术等,或不必要的转诊。
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Management of 'double eyelid ectropion' using 5% hypertonic saline in an Indian newborn.

Objective: This report describes a clinically rare case of congenital ectropion involving both upper lids in a one-day-old Indian newborn. We emphasize the importance of non-invasive conservative management with 5% hypertonic saline. Method: Observational case report Result: A term newborn presented to us on day 1 with bilateral upper lid ectropion or 'double congenital ectropion' noted since birth following an uneventful vaginal delivery. Examination revealed severe chemosis and prolapse of upper palpebral conjunctiva bilaterally. The repeated attempts to manually revert the eyelids in position failed. Otherwise, the eyes were normal. We started to treat the baby with topical hypertonic saline (5% sodium chloride), topical antibiotic, and topical lubricant frequently. Eye pads soaked in 5% hypertonic saline were also used. Following five days of treatment, the chemosis and ectropion resolved completely without recurrence. Conclusion: We advocate non-invasive conservative management with 5% hypertonic saline soaked pads over the eyes along with topical antibiotic and lubricants. It should be the first line of treatment in all cases of congenital ectropion, before jumping to any aggressive invasive treatment like tarsorrhaphy, skin grafting etc., or unnecessary referral.

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