Dermatochalasis
A condition characterized by excess skin in the upper or lower eyelids
Dermatochalasis[edit | edit source]
Dermatochalasis is a medical condition characterized by an excess of skin in the upper or lower eyelids. This condition is often associated with aging, but it can also be present in younger individuals due to genetic factors or other underlying conditions.
Clinical Presentation[edit | edit source]
Patients with dermatochalasis typically present with complaints of droopy eyelids, which can lead to visual field obstruction, especially in the upper visual field. The excess skin may also cause cosmetic concerns, as it can give the appearance of tiredness or aging.
Pathophysiology[edit | edit source]
Dermatochalasis occurs due to a loss of elasticity in the skin and weakening of the connective tissues around the eyes. This can be exacerbated by factors such as sun exposure, smoking, and genetic predisposition. The condition is often bilateral, affecting both eyes.
Diagnosis[edit | edit source]
The diagnosis of dermatochalasis is primarily clinical, based on the physical examination of the eyelids. An ophthalmologist or dermatologist may assess the degree of skin excess and its impact on the patient's vision. Visual field testing may be performed to determine the extent of visual impairment.
Treatment[edit | edit source]
The primary treatment for dermatochalasis is surgical intervention, known as blepharoplasty. This procedure involves the removal of excess skin, and sometimes fat, from the eyelids. Blepharoplasty can improve both the functional and cosmetic aspects of dermatochalasis.
Complications[edit | edit source]
If left untreated, dermatochalasis can lead to chronic irritation, difficulty in wearing glasses, and in severe cases, significant visual impairment. Post-surgical complications can include infection, scarring, and asymmetry.
Related Conditions[edit | edit source]
Dermatochalasis should be differentiated from ptosis, which is the drooping of the eyelid margin itself due to muscle weakness or nerve damage. Both conditions can coexist, and their management may require a combined surgical approach.
Related pages[edit | edit source]
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