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Redundant and lax eyelid skin and muscle is known as dermatochalasis. Dermatochalasis is a common finding seen in elderly persons and occasionally in young adults. Natural aging: gravity, loss of elastic tissue in the skin, and weakening of the connective tissues of the eyelid frequently contribute to this lax and redundant eyelid tissue. These findings are more common in the upper eyelids but can be seen in the lower eyelids as well.

In some cases, severe stress or trauma can accelerate the aging process, resulting in dermatochalasis at an earlier than normal age. Some systemic diseases also may predispose patients to develop dermatochalasis. These include thyroid eye disease, renal failure, trauma, cutis laxa, Ehlers-Danlos syndrome, amyloidosis, hereditary angioneurotic edema, and xanthelasma. Genetic factors may play a role in some patients.

Dermatochalasis can be a functional or cosmetic problem for the patients. When functional, dermatochalasis frequently obstructs the superior visual field. In addition, patients may note ocular irritation, entropion of the upper eyelid, ectropion of the lower eyelid, blepharitis, and dermatitis. When cosmetic, patients note a fullness or heaviness of the upper eyelids, "bags" in the lower eyelids, and wrinkles in the lower eyelids and the lateral canthus.

Dermatochalasis can be separated into early and late phases. The early phase is divided further into hypertrophic and atrophic forms. The cause is probably a localized form of angioedema. Sequelae include conjunctival edema and injection, entropion, ectropion, steatoblepharon, ptosis, and excessively thin skin.

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Blepharochalasis syndrome is separate and distinct from dermatochalasis and is a rare disorder that typically affects the upper eyelids. Blepharochalasis syndrome is characterized by intermittent eyelid edema, which frequently recurs. This results in relaxation of the eyelid tissue and resultant atrophy. In approximately 50% of patients, it is unilateral. Blepharochalasis rarely can be associated with agenesis of the kidney, vertebral abnormalities, and congenital heart defects.

TREATMENT

In general, the treatment of dermatochalasis is surgical. The following medical treatments may be appropriate:
  • Dermatochalasis patients with blepharitis may benefit from lid hygiene and topical antibiotics.
  • Dermatochalasis patients with dermatitis may benefit from topical steroid ointment.
  • Dermatochalasis patients with dry eyes should be treated with the appropriate topical lubricant. In addition, placement of temporary collagen punctal plugs, permanent punctal plugs, or punctal cautery may be considered in patients with a history of dry eye or a physical examination consistent with dry eye. These measures may be used preoperatively to further evaluate the patient prior to embarking upon surgery.
Read more about upper eyelid surgery.

NEW ALTERNATIVE FOR SURGERY

Not all patients are good candidates for surgical treatment. In this case Lily Leading Instant Eye Lift might offer a alternative solution for ptosis caused by dermatochalasis or blepharochalasis.

Lily Leading Instant Eye Lift is a thin invisible comfortable high quality medical grade, upper eyelid strip made of silicon, known and used after (plastic) surgery to improve wound healing and reduce the forming of scar tissue. The Lily strips provide the support necessary to lift and shape the sagging upper eyelid skin, resulting in a symmetrical, natural and youthful shape of the eyes, making them look rejuvenated, brightened and healthy, without side effects in just seconds. Lily comes with a protective and nourishing gel. The gel improves adhesion and makes repositioning of the strips and removal easy without damaging the delicate skin of the upper eyelid. The results are amazing.

Lily has no effect on other symptoms or progression of any disease. Note: Results may vary depending on the nature, cause and severity of the ptosis and the way Lily is applied.

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Copyright©2012 LICW. All Rights Reserved. The information provided by LICW is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. All names, logos and servicemarks are registered and/or unregistered trademarks.
8/21/2012 00:25:22

The abnormal narrowness of the palpebral fissure in the horizontal direction caused by the lateral displacement of the medial canthi.To classify the severity of blepharophimosis, describe associated features and their effects on the incidence of amblyopia

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