Severe Congenital Horizontal Tarsal Kink without Levator Aponeurosis Disinsertion

Abstract

In Brief A newborn presented with congenital severe tarsal kink of the upper eyelids not caused by levator aponeurosis disinsertion. A bilateral anterior lamellar repositioning procedure was performed to correct the tarsal kink. Levator aponeurosis disinsertion was not observed as an intraoperative finding. The tarsal kink disappeared, and eyelid positions remained stable during a follow-up period of 1 year. Our case indicates that severe congenital tarsal kink may develop without levator aponeurosis disinsertion, and anterior lamellar repositioning technique is a simple and effective method of treatment. A newborn with bilateral severe tarsal kink of the upper eyelid did not demonstrate levatoraponeurosis disinsertion as the cause of the tarsal kink.