Planned excision of associated limbal dermoids should not be undertaken lightly. Pseudopterygium and symblepharon, as well as perforation, are common complications. Lamellar grafts have been advocated. For lower lid colobomas, consider the mandibulofacial dystosis syndromes, especially Treacher Collins syndrome or Franceschetti syndrome. Amniotic band syndrome often presents with corneal opacities and facial clefts, in addition to eyelid colobomas.
Genetic consultation is highly recommended, especially in cases with associated syndromes.
Congenital upper lid coloboma. Congenital eyelid anomalies in children. A procedure for the reconstruction of the lateral palpebral canthus. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.