An unusual case of blepharochalasis

Purpose: To describe a rare case of blepharochalasis that progressed from unilateral to bilateral involvement at five years after disease onset. Case Report: A previously healthy five-year-old white boy presented to our hospital for a screening visual examination. He was found to have a 2-mm right e...

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Main Authors: Douglas P Dworak, Shyam A Patel, Lisa S Thompson
Format: Article
Language:English
Published: Knowledge E 2017-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=3;spage=342;epage=344;aulast=Dworak
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author Douglas P Dworak
Shyam A Patel
Lisa S Thompson
author_facet Douglas P Dworak
Shyam A Patel
Lisa S Thompson
author_sort Douglas P Dworak
collection DOAJ
description Purpose: To describe a rare case of blepharochalasis that progressed from unilateral to bilateral involvement at five years after disease onset. Case Report: A previously healthy five-year-old white boy presented to our hospital for a screening visual examination. He was found to have a 2-mm right eyelid ptosis with crepe-like skin and subcutaneous telangiectatic vessels. His mother noted that since the age of three, the child has been having two to seven day-long episodes of right upper eyelid swelling and edema with tenderness. The episodes eventually progressed to involving the left eyelid as well. Oral steroid taper was found to effectively resolve these exacerbations, and a diagnosis of blepharochalasis was made. Conclusion: Blepharochalasis should be in the differential diagnosis for young children presenting with unilateral or bilateral ptosis with periorbital skin abnormalities.
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spelling doaj.art-511d444b8d904131b963dfad3edc05b72022-12-22T04:33:50ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2017-01-0112334234410.4103/jovr.jovr_104_15An unusual case of blepharochalasisDouglas P DworakShyam A PatelLisa S ThompsonPurpose: To describe a rare case of blepharochalasis that progressed from unilateral to bilateral involvement at five years after disease onset. Case Report: A previously healthy five-year-old white boy presented to our hospital for a screening visual examination. He was found to have a 2-mm right eyelid ptosis with crepe-like skin and subcutaneous telangiectatic vessels. His mother noted that since the age of three, the child has been having two to seven day-long episodes of right upper eyelid swelling and edema with tenderness. The episodes eventually progressed to involving the left eyelid as well. Oral steroid taper was found to effectively resolve these exacerbations, and a diagnosis of blepharochalasis was made. Conclusion: Blepharochalasis should be in the differential diagnosis for young children presenting with unilateral or bilateral ptosis with periorbital skin abnormalities.http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=3;spage=342;epage=344;aulast=DworakBilateral Ptosis; Blepharochalasis; Oculoplastics; Orbital Inflammation; Unilateral Ptosis
spellingShingle Douglas P Dworak
Shyam A Patel
Lisa S Thompson
An unusual case of blepharochalasis
Journal of Ophthalmic & Vision Research
Bilateral Ptosis; Blepharochalasis; Oculoplastics; Orbital Inflammation; Unilateral Ptosis
title An unusual case of blepharochalasis
title_full An unusual case of blepharochalasis
title_fullStr An unusual case of blepharochalasis
title_full_unstemmed An unusual case of blepharochalasis
title_short An unusual case of blepharochalasis
title_sort unusual case of blepharochalasis
topic Bilateral Ptosis; Blepharochalasis; Oculoplastics; Orbital Inflammation; Unilateral Ptosis
url http://www.jovr.org/article.asp?issn=2008-322X;year=2017;volume=12;issue=3;spage=342;epage=344;aulast=Dworak
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