A newborn with ankyloblepharon filiforme adnatum
Ankyloblepharon filiforme adnatum (AFA) is characterized by partial or complete adhesion of ciliary edges of upper and lower eyelids at the gray line, by single or multiple fine bands of extensible tissue.

Published in the Journal of Clinical Ophthalmology and Research, the authors present a newborn with AFA who was treated successfully by separation of the eyelids.

A 2-day-old male infant was admitted to the pediatric hospital as the child was not able to open his eyes due to adherent upper and lower eyelids. The baby weighing 2.315 kg was born at full term by spontaneous vaginal delivery with episiotomy to a 25-year-old, fourth gravid.

Detailed ophthalmic examination revealed four fine extensible bands of skin in the right eye and two fine bands in the left eye each measuring about 1 mm in breadth and 2 mm in length. Apart from this, he was perfectly healthy without any other congenital abnormalities.

Ultrasonography of both eyes shows no abnormalities. In both the eyes, the adhesions were divided by Vanas scissors. No sedation or local anesthetic was required. There was insignificant bleeding, and the child remain comfortable. Posterior surface of eyelids, ocular motility, anterior segment, and fundus were normal.

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