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Floppy eyelid syndrome

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

floppy eyelid syndrome (FES) usually affects middle-aged obese men, presenting as a unilateral or bilateral chronic papillary conjunctivitis. The upper eyelid is lax, floppy, and easily everted. The laterality corresponds to the side the patient sleeps on. An association with obstructive sleep apnoea (OSA) has been suggested
patients may also present with upper lid ptosis, lash ptosis or trichiasis, lower lid ectropion or rarely entropion, or corneal complications (1)
surgical management with horizontal shortening of the floppy eyelids remains the mainstay of therapy

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