Congenital upper lid colobomas can present as an isolated embryonic defect or as a part of a syndrome.Through a series of two cases this article highlights the importance of different surgical techniques, individualised for congenital upper lid coloboma presenting at different age groups with different location of lid Kratom Powder defects.Case 1: Fifteen-year-old female with right upper lid congenital coloboma involving middle one third of the eyelid was planned for transposition of full thickness flap of lower eyelid following the principles of Cutler Beard surgery.
Case 2: One-year-old female presented with right upper lid eccentric coloboma involving medial aspect of lid, not involving Wooden Toy the lacrimal drainage system.A Tenzel Semicircular rotational flap for repair of the defect was planned.This approach was preferred because of the eccentric lid defect and to prevent iatrogenic occlusion amblyopia from any procedures requiring obstruction of visual axis as may occur in Cutler Beard procedure.