A Case of Unilateral Blepharochalasis Associated with Exophthalmos and Aponeurotic Ptosis.

Jo, Seok Ho; Joo, Mee; Han, Soo Kyung

Case Report

Journal of the Korean Ophthalmological Society 2003;44(5):1212-1217.
Published online May 1, 2003.

A Case of Unilateral Blepharochalasis Associated with Exophthalmos and Aponeurotic Ptosis.

¹Department of Ophthalmology, Inje University Seoul Paik Hospital College of Medicine, Korea. lidorbit@hanmail.net
²Department of Pathology, Inje University Seoul Paik Hospital, Korea.

안구돌출과 안검하수를 동반한 편측성 안검피부이완증 1예

조석호 ( Seok Ho Jo ) , 주미 ( Mee Joo ) , 한수경 ( Soo Kyung Han )

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.

Key Words: Blephalochalasis;Exophthalmos