Blepharochalasis: Difference between revisions
From WikiMD's Wellness Encyclopedia
No edit summary Tag: visualeditor-wikitext |
CSV import |
||
| Line 1: | Line 1: | ||
{{Infobox medical condition | |||
| name = Blepharochalasis | |||
| synonyms = | |||
| pronunciation = | |||
| image = | |||
| caption = | |||
| field = [[Ophthalmology]] | |||
| symptoms = Recurrent episodes of [[eyelid]] swelling, [[ptosis (eyelid)|ptosis]], [[dermatochalasis]] | |||
| complications = | |||
| onset = Typically in [[adolescence]] | |||
| duration = | |||
| types = | |||
| causes = Unknown, possibly [[allergy|allergic]] or [[inflammatory]] | |||
| risks = | |||
| diagnosis = Clinical evaluation, [[medical history]] | |||
| differential = [[Angioedema]], [[dermatochalasis]], [[blepharitis]] | |||
| prevention = | |||
| treatment = [[Surgery]], [[corticosteroids]] | |||
| medication = | |||
| prognosis = Generally good with treatment | |||
| frequency = Rare | |||
}} | |||
{{tpr}} | {{tpr}} | ||
'''Blepharochalasis''' is an condition characterized by excessive eyelid skin associated with a disease that causes the skin to stretch. | '''Blepharochalasis''' is an condition characterized by excessive eyelid skin associated with a disease that causes the skin to stretch. | ||
<youtube> | <youtube> | ||
title='''{{PAGENAME}}''' | title='''{{PAGENAME}}''' | ||
| Line 13: | Line 34: | ||
height=600 | height=600 | ||
</youtube> | </youtube> | ||
== Pathophysiology == | == Pathophysiology == | ||
* Blepharochalasis is a type of [[inflammation]] of the [[eyelid]] that is characterized by exacerbations and remissions of eyelid [[edema]]. | * Blepharochalasis is a type of [[inflammation]] of the [[eyelid]] that is characterized by exacerbations and remissions of eyelid [[edema]]. | ||
| Line 19: | Line 39: | ||
* This leads to the formation of redundant folds over the lid margins. | * This leads to the formation of redundant folds over the lid margins. | ||
* Damage to the [[levator palpebrae superioris muscle]] causes [[ptosis (eyelid)|ptosis]], or drooping of the eyelid, when the muscle can no longer hold the eyelid up. | * Damage to the [[levator palpebrae superioris muscle]] causes [[ptosis (eyelid)|ptosis]], or drooping of the eyelid, when the muscle can no longer hold the eyelid up. | ||
== Eye lids affected == | == Eye lids affected == | ||
It typically affects only the upper eyelids, and may be unilateral as well as bilateral. | It typically affects only the upper eyelids, and may be unilateral as well as bilateral. | ||
==Signs and symptoms== | ==Signs and symptoms== | ||
===Complications=== | ===Complications=== | ||
Complications of blepharochalasis may include [[conjunctiva]]l [[Hyperaemia|hyperemia]], [[chemosis]], [[entropion]], [[ectropion]], and ptosis. | Complications of blepharochalasis may include [[conjunctiva]]l [[Hyperaemia|hyperemia]], [[chemosis]], [[entropion]], [[ectropion]], and ptosis. | ||
==Causes== | ==Causes== | ||
Blepharochalasis is idiopathic in most cases, i.e., the cause is unknown. | Blepharochalasis is idiopathic in most cases, i.e., the cause is unknown. | ||
== Associated conditions == | == Associated conditions == | ||
Systemic conditions linked to blepharochalasis are [[renal agenesis]], [[vertebra]]l abnormalities, and [[congenital heart disease]]. | Systemic conditions linked to blepharochalasis are [[renal agenesis]], [[vertebra]]l abnormalities, and [[congenital heart disease]]. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis is through history, and physical examination. On physical examination, there are many typical findings such as: | Diagnosis is through history, and physical examination. On physical examination, there are many typical findings such as: | ||
| Line 44: | Line 58: | ||
* "Cigarette paper" appearance with finely wrinkled skin | * "Cigarette paper" appearance with finely wrinkled skin | ||
* Lax eyelid skin which may lead to some obstruction of vision | * Lax eyelid skin which may lead to some obstruction of vision | ||
===Differential diagnosis=== | ===Differential diagnosis=== | ||
[[Dermatochalasis]] is sometimes confused with blepharochalasis, but these are two different conditions. | [[Dermatochalasis]] is sometimes confused with blepharochalasis, but these are two different conditions. | ||
==Treatment== | ==Treatment== | ||
The following procedures have been described for blepharochalasis: | The following procedures have been described for blepharochalasis: | ||
| Line 55: | Line 67: | ||
* Dermis fat grafts | * Dermis fat grafts | ||
These are used to correct atrophic blepharochalasis after the syndrome has run its course. | These are used to correct atrophic blepharochalasis after the syndrome has run its course. | ||
==Epidemiology== | ==Epidemiology== | ||
It is encountered more commonly in younger rather than older individuals. | It is encountered more commonly in younger rather than older individuals. | ||
== External links == | == External links == | ||
* [https://eyewiki.aao.org/Blepharochalasis_Syndrome Eye wiki entry on blepharchalasis] | * [https://eyewiki.aao.org/Blepharochalasis_Syndrome Eye wiki entry on blepharchalasis] | ||
{{Eye pathology}} | {{Eye pathology}} | ||
{{stub}} | {{stub}} | ||
[[Category:Abnormalities of dermal fibrous and elastic tissue]] | [[Category:Abnormalities of dermal fibrous and elastic tissue]] | ||
[[Category:Disorders of eyelid, lacrimal system and orbit]] | [[Category:Disorders of eyelid, lacrimal system and orbit]] | ||
Latest revision as of 22:16, 3 April 2025
| 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 &
W8MD medical weight loss NYC and sleep center NYC
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]
