Isolated congenital eyelid eversion with familial occurrence: a rare clinical entity

Abstract Congenital eyelid eversion is an uncommon, benign condition characterised by the outward turning of the eyelids, predominantly affecting the upper eyelids and often associated with systemic or syndromic conditions. We present a rare case of isolated bilateral congenital eyelid eversion in a term male neonate, detected immediately after birth. There were no signs of syndromic features or systemic abnormalities. Importantly, a family history was noted, with an older male sibling who had a similar condition at birth, indicating a possible genetic predisposition. Progressive clinical improvement of the ectropion was observed with conservative treatment, and by the sixth day after birth, it had completely resolved. This case illustrates the potential for a positive outcome with conservative treatment for isolated congenital eyelid eversion and emphasises the importance of recognising familial patterns in its clinical evaluation.