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Case report
Multidisciplinary management of ankyloblepharon filiforme adnatum
  1. Henry Armes1,
  2. Sarah Anne Williams2,
  3. Jonathan Dunne1 and
  4. Simon James Eccles3
  1. 1Plastic and Reconstructive Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  2. 2Plastic Surgery, Royal Free London NHS Foundation Trust, London, UK
  3. 3Craniofacial Unit, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Henry Armes; Henry.Armes{at}


A female infant born at 41+6 weeks via emergency caesarean section due to failure to progress and maternal sepsis was found to have a small fibrous band connecting the upper and lower eyelids of the right eye. This was diagnosed as ankyloblepharon filiforme adnatum. The child was investigated for multisystemic malformations by the paediatric department, but none were found, and the partially fused right eyelid was dissected using microsurgical scissors to allow full opening of the eye. We summarise the management of a rare oculoplastic disorder.

  • cardiovascular medicine
  • ophthalmology
  • congenital disorders
  • plastic and reconstructive surgery
  • head and neck surgery

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  • Contributors All authors shared the work equally. The writing of the case report was done by HA, SAW and JD. SJE provided guidance throughout the project and clarifying treatment protocol.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement statement The patient’s family was involved in writing a short summary of their child’s care from their perspective. There was no further patient or family input in the treatment, writing or publication of this case study.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.