case_images: PMC5296616_01
case_images: Age: 8 months. Preoperative picture showing marked bilateral, congenital ectropion of the upper eyelids
case_images: OC-07-03-g-001.jpg
case_images: PMC5296616_01_OC-07-03-g-001.jpg
case_images: F1
case_images: An eight-month-old boy with clinical signs and diagnosis of Down's syndrome was brought to consultation because of bilateral ectropion of the upper eyelids that was noted at birth (Figure 1 (Fig. 1)).
case_images: Intraoperative picture showed full-thickness skin graft upper eyelids.
case_images: OC-07-03-g-002.jpg
case_images: PMC5296616_01_OC-07-03-g-002.jpg
case_images: F2
case_images: Finally, two elliptical retroauricular skin grafts measuring 12 mm long and 5 mm wide were grafted into upper eyelids and sutured with interrupted 6/0 black silk suture (Figure 2 (Fig. 2)).
case_images: The postoperative result with satisfactorily reformed upper eyelids margins
case_images: OC-07-03-g-003.jpg
case_images: PMC5296616_01_OC-07-03-g-003.jpg
case_images: F3
case_images: Postoperative there were no complications and the final outcome was satisfactory (Figure 3 (Fig. 3)).
case_images: PMC5296616_02
case_images: 10-month-old child with congenital ectropion of the upper eyelids associated with Down's syndrome
case_images: OC-07-03-g-004.jpg
case_images: PMC5296616_02_OC-07-03-g-004.jpg
case_images: F4
case_images: Ocular examination revealed: upward slant of the eyelid fissures, epicanthal folds, and ectropion of both upper eyelids, which were able to be repositioned easily, but returned to the everted position spontaneously with crying and forced closure (Figure 4 (Fig. 4)).
case_images: PMC5296616_03
case_images: 11-month-old child with bilateral total congenital ectropion of the upper eyelids in Down's syndrome
case_images: OC-07-03-g-005.jpg
case_images: PMC5296616_03_OC-07-03-g-005.jpg
case_images: F5
case_images: As with the previous cases, the eyelids could be returned easily to their normal positions but immediately turned out again with force closure (Figure 5 (Fig. 5)).