A 17-year-old woman presented with a left upper eyelid coloboma from birth, extending from the lateral side of the punctum to the center of the eyelid as much as 10 mm in width. The posterior lamella (tarsus) was lost completely in this area, but an anterior lamella defect was limited to 1 to 2 mm in height. The area was devoid of eyelashes. Part of the medial tarsal plate was spared. The anterior and posterior lamellae of this eyelid were separately reconstructed with an anterior skin crease incision and posterior wedge excision with a good cosmetic outcome.
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