case_images: PMC9531735_01
case_images: Child with right congenital ectropion at presentation
case_images: JWACS-12-104-g001.jpg
case_images: PMC9531735_01_JWACS-12-104-g001.jpg
case_images: F1
case_images: Examination revealed ectropion (eversion) of the right upper eyelid with severe conjunctival chemosis and discharge [Figure 1].
case_images: Child on day 3 after using 3% hypertonic saline
case_images: JWACS-12-104-g002.jpg
case_images: PMC9531735_01_JWACS-12-104-g002.jpg
case_images: F2
case_images: Though the swelling reduced significantly on the second day, treatment was continued and on the third day, the chemosis was fully resolved and the lid reverted back to normal position [Figure 2] The eye was no longer padded after the third day, the 3% hypertonic saline, topical antibiotic were instilled 8 hourly 5 minutes apart, and the antibiotic ointment was then used twice daily.