Statistics from Altmetric.com
A 20-year-old woman presented with drooping of both the eyelids (left>right). She had intermittent upper eyelid oedema for 3 years. There was no diurnal variation or fatiguability. The neuro-ophthalmic examination was normal including the extraocular movements. Serum anti-acetylcholine receptor antibodies, CT of the orbit and electromyography were unremarkable. Loose overhanging skin changes were highlighted on clinical reassessment (figure 1A). Atrophy of nasal fat pad causing ‘pseudo-epicanthic fold’ was noted (figure 1B). A diagnosis of blepharochalasis was confirmed on histopathology by demonstrating markedly reduced elastic fibres in the dermis (figure 2). Oral doxycycline (200 mg/day) in combination with topical tacrolimus 0.1% gel was given for 3 months with partial improvement. She disregarded a future plan of blepharoplasty.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.