Babies born with ichthyosis may have a mild to severe case of ectropion. Ectropion is a condition whereby the skin around the eyes pulls tightly causing the eyelids to slightly turn outward, which is commonly seen in cases of collodion baby or harlequin Ichthyosis. If present, consult with an ophthalmologist. Infants with ectropion are at risk for developing keratitis, or inflammation of the cornea as the tight skin of the eyelids make it difficult for them to shut the eyes sometimes. So ensuring that the eyes are adequately lubricated is essential. This can be accomplished with hourly artificial tears or ocular lubricant. Vaseline can be applied around the eyes couple of times in a day or before going to sleep at night so that eyes can be closed more easily. Topical antibiotics may be required for treatment of conjunctivitis or corneal abscess.
And although ectropion almost improves beyond the neonatal period, it can persist throughout life and medical consequences including keratitis, conjunctivitis, inflammation of the conjunctivitis and epiphora, accessing watering of the eye, can ensue.
As your child ages, if the ectropion persists, there are surgical procedures available to them, as well as topical retinoid treatments. Topical night time eye ointments can be applied after washing the hands & then wiping the eye area with a warm, wet washcloth. Consult with your physician and medical team before pursuing new treatment for your child.