The authors present a case of a large congenital coloboma of the upper eyelid which was reconstructed through a transposition flap from the lower eyelid (Cutler-Beard technique), with good esthetic and functional result. The patient presented as a complication, development of deprivation amblyopia, (as a result of the time of visual axis occlusion between the first and second operation), which was solved utilizing appropriate therapy. A bibliographic review was made and the principles that rule the treatment of upper eyelid defects were commented, showing the advantages and disadvantages of each technique. Discussion was raised about the best method of reconstruction in newborns, facing the risks of occurrence of amblyopia.
Coloboma; Ambliopia; Eyelids; Plastic surgery; Surgical flaps; Case report
