Congenital Entropion and Congenital Corneal Ulcer

We studied a case of corneal ulceration in utero from lower eyelid entropion. A 3-week-old male infant was referred for examination of a left corneal ulcer that was present at birth and unresponsive to antibiotics. Examination disclosed a lower eyelid entropion that was treated surgically by a nonincisional method, leaving a central leukoma after re-epithelialization. Congenital lower eyelid entropion should be included in the differential diagnosis of congenital corneal opacities.