CONGENITAL ENTROPION AND TETRASTICHIASIS OF UPPER LIDS, PALPEBRAL HYPERPIGMENTATION, AND MENTAL DEFICIENCY

Abstract

IN HER WORK on congenital and developmental anomalies, Mann¹ has noted that congenital entropion is exceedingly rare. Congenital entropion of the upper lid may be said to be extremely rare. The first case reported was that of von Ammon² in 1841. He published illustrations of the eyes of a 3-year-old girl with multiple congenital anomalies. The right eye showed ectropion of the lower lid, entropion of the upper lid, and dyscoria. The left eye showed entropion of both lids. No further observations on the condition of the tarsus were made. The next case reported was Wilde's,³ in 1844, cited by Harlan,⁴ in which only the right upper lid was involved. In 1894 Lippincott⁵ described a bilateral case. Harlan,⁴ in 1895, presented a case in which the tarsus of both upper lids consisted of narrow, slightly thickened bands. Upon eversion of the lids grooves could