A Case of Unilateral Blepharochalasis Associated with Exophthalmos and Aponeurotic Ptosis.
- Author:
Seok Ho JO
1
;
Mee JOO
;
Soo Kyung HAN
Author Information
1. Department of Ophthalmology, Inje University Seoul Paik Hospital College of Medicine, Korea. lidorbit@hanmail.net
- Publication Type:Case Report
- Keywords:
Blephalochalasis;
Exophthalmos
- MeSH:
Adolescent;
Biopsy;
Blepharoplasty;
Dermis;
Dilatation, Pathologic;
Edema;
Elastic Tissue;
Epidermis;
Exophthalmos*;
Female;
Humans;
Lacrimal Apparatus
- From:Journal of the Korean Ophthalmological Society
2003;44(5):1212-1217
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To present a case of unilateral exophthalmos with aponeurotic ptosis caused by blephalochalasis. METHODS: The left upper lid blepharoplasty, levator muscle resection, prolapsed lacrimal gland fixation, and excisional biopsy of lacrimal gland was done on a 16-year-old female who had had repetitive episodes of drooping and swelling of left upper lid for 6 years. RESULTS: Up to 11months after operation, she had no episodes of drooping and swelling. Histologically, the epidermis was atropic and wrinkled, and the dermis showed diffuse edema and vascular ectasia with mild perivascular inflammatory infiltrates. Elastic staining revealed a marked decrease or fragmentation of elastic fiber. Edema and vascular ectasia were also seen in the palpebral lobe of lacrimal gland and adjacent fat tissue.
