Surgical management of persistent congenital eversion of the upper eyelids.

Most cases of congenital eversion of the upper eyelids resolve spontaneously within two weeks of birth. We present a case of persistent upper-eyelid eversion that did not even after two months of conservative management. A previously undescribed mechanism, consisting of a vertical elongation of the eyelid in its posterior aspect creating a relative skin deficiency, was probably responsible for this eversion. Skin grafts provided rapid resolution with a good cosmetic result.