Presentation
Dailey et al10 presented a case of congenital upper eyelid entropion associated with a congenital heart defect. [entokey.com]
Clinical Presentation Tarsal kink presents as a unilateral or bilateral upper eyelid entropion at birth. It is usually associated with marked blepharospasm and an absent lid crease. Corneal ulceration is present in roughly half of patients. [link.springer.com]
We present a technique of tarsal stabilization which corrected this upper lid deformity in one case. Congenital entropion with persistent corneal ulceration is not common. [proquest.com]
Case Presentation An otherwise healthy newborn was presented after delivery with forceps with marked unilateral purulent secretion and blepharospasm. [thieme-connect.com]
Combined Mobius Syndrome and Tarsal Kink Syndrome- A Unique Presentation. [asianjo.com]
Treatment
TREATMENT Prompt recognition and treatment of this condition is essential to prevent significant corneal injury and amblyopia. Treatment depends upon the severity of the tarsal deformity. [mhealthknowledge.org]
The therapeutic contact lens was removed, and the recommendation was made to continue the topical treatment with emulsified vitamin A, artificial tears with hyaluronic acid and light anti-inflammatory steroid treatment to recover corneal transparency. [ncbi.nlm.nih.gov]
A Simple New Technique for Treatment of Tarsal Kink Syndrome. Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3S Suppl 1):S77-S79. ↑ Pushker N, Meel R, Kaushal S, et al. [eyewiki.aao.org]
Prognosis
[…] gene involved in the deleted region for which this data is known: NPAS3(NG_013036.2), CFL2(NG_012740.1), PSMA6(NG_011703.2), NFKBIA(NG_007571.1), RALGAPA1(NG_051667.1) In particular, when the deletion includes the genes FOXG1, NKX2‐1, and PAX9, the prognosis [proquest.com]
Mechanical stretching of tarsal plate over a strabismus hook followed by a temporary lid margin sutures passed through the gray line of the upper and lower eyelids[16] Prognosis Visual outcome in patients with tarsal kink syndrome is favourable except [eyewiki.aao.org]
Etiology
Etiology and Pathogenesis The etiology of congenital tarsal kink is unknown. [entokey.com]
Etiology The etiology of tarsal kink is unclear but possibilities include a primary tarsal defect, an aponeurotic defect, overacting orbicularis fibers, an exogenous mechanical force in utero, or an eyelid disjunction defect in utero. [link.springer.com]
Although the etiology of the lid malformation is not known, we postulate various environmental causes. The promptness of the correct diagnosis and treatment in preventing serious corneal injury and amblyopia is emphasized. [proquest.com]
Re-examining the tarsal kink syndrome: considerations of its etiology and treatment. Ophthalmic Surgery, Lasers and Imaging Retina. 1985 Jul 1;16(7):437-40. ↑ 7.0 7.1 Sires BS. [eyewiki.aao.org]
Epidemiology
Ectropion: Background, Pathophysiology, Epidemiology [Internet]. Emedicine.medscape.com. 2018 [cited 24 June 2020]. Available from: https://emedicine.medscape.com/article/1212398-overview [eophtha.com]
Pathophysiology
Ectropion: Background, Pathophysiology, Epidemiology [Internet]. Emedicine.medscape.com. 2018 [cited 24 June 2020]. Available from: https://emedicine.medscape.com/article/1212398-overview [eophtha.com]
Prevention
TREATMENT Prompt recognition and treatment of this condition is essential to prevent significant corneal injury and amblyopia. Treatment depends upon the severity of the tarsal deformity. [mhealthknowledge.org]
The promptness of the correct diagnosis and treatment in preventing serious corneal injury and amblyopia is emphasized. We describe a simple method for correcting the lid deformity that was effective in one case. [proquest.com]
[…] lamellar dissociation as follows transverse sutures prevent upward movement of pre-septal muscle everting sutures tighten the lower eyelid retractors and evert the eyelid. [eophtha.com]
Surgery is usually required to prevent damage to the cornea. Surgery The surgical goal involves weakening the tarsal kink with margin rotation and eyelid crease formation. [eyewiki.aao.org]