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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2014  |  Volume : 21  |  Issue : 2  |  Page : 200-202

Ankyloblepharon filiforme adnatum: Report of two cases

1 Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, India
2 B B Eye Foundation, Kolkata, India

Correspondence Address:
Chandana Chakraborti
A/1/1, Pearl Apartment, 50B, Kailas Bose Street, Kolkata - 700 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.129780

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Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by partial or complete adhesion of upper and lower eyelids, usually seen as an isolated finding but often associated with other anomalies or a well-defined syndrome. We report two cases of AFA who presented at a tertiary eye care center of West Bengal. Family history of consanguinity was absent. One baby had abnormal tuft of hair over the small of the back. No other congenital abnormalities were detected in any of them. The adhesions of the eyelids were divided by a number 15 blade after crushing with mosquito forceps in both cases without any anesthesia. Subsequent ocular examinations following separation and during follow-up revealed normal eyelid function, ocular motility, and fundus. In a case of AFA, timely separation of the eyelids is crucial to avoid the development of occlusion amblyopia. Cases of AFA reported in the literature are reviewed.

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