Blepharochalasis
| Blepharochalasis | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Recurrent episodes of eyelid swelling, ptosis, dermatochalasis |
| Complications | |
| Onset | Typically in adolescence |
| Duration | |
| Types | |
| Causes | Unknown, possibly allergic or inflammatory |
| Risks | |
| Diagnosis | Clinical evaluation, medical history |
| Differential diagnosis | Angioedema, dermatochalasis, blepharitis |
| Prevention | |
| Treatment | Surgery, corticosteroids |
| Medication | |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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Blepharochalasis is an condition characterized by excessive eyelid skin associated with a disease that causes the skin to stretch.
Pathophysiology[edit]
- Blepharochalasis is a type of inflammation of the eyelid that is characterized by exacerbations and remissions of eyelid edema.
- These repeated episodes in turn results in a stretching and subsequent atrophy of the eyelid tissue.
- This leads to the formation of redundant folds over the lid margins.
- Damage to the levator palpebrae superioris muscle causes ptosis, or drooping of the eyelid, when the muscle can no longer hold the eyelid up.
Eye lids affected[edit]
It typically affects only the upper eyelids, and may be unilateral as well as bilateral.
Signs and symptoms[edit]
Complications[edit]
Complications of blepharochalasis may include conjunctival hyperemia, chemosis, entropion, ectropion, and ptosis.
Causes[edit]
Blepharochalasis is idiopathic in most cases, i.e., the cause is unknown.
Associated conditions[edit]
Systemic conditions linked to blepharochalasis are renal agenesis, vertebral abnormalities, and congenital heart disease.
Diagnosis[edit]
Diagnosis is through history, and physical examination. On physical examination, there are many typical findings such as:
- Proptosis
- Pigmentary skin changes
- Entropion and or ectropion
- Subcutaneous telangectasia
- Severe eyelid skin thinning
- Prolopase of fat or even lacrimal gland prolapse
- "Cigarette paper" appearance with finely wrinkled skin
- Lax eyelid skin which may lead to some obstruction of vision
Differential diagnosis[edit]
Dermatochalasis is sometimes confused with blepharochalasis, but these are two different conditions.
Treatment[edit]
The following procedures have been described for blepharochalasis:
- External levator aponeurosis tuck
- Blepharoplasty
- Lateral canthoplasty
- Dermis fat grafts
These are used to correct atrophic blepharochalasis after the syndrome has run its course.
Epidemiology[edit]
It is encountered more commonly in younger rather than older individuals.
External links[edit]
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