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Floppy eyelid syndrome - External and Internal Eye
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Floppy eyelid syndrome - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

Floppy eyelid syndrome (FES) is a relatively uncommon ocular condition characterized by floppy, rubbery, and easily everted upper eyelids. It is usually seen in overweight, middle-aged men. Patients present with complaints of ocular redness, blurry vision, irritation, itching, burning, and a stringy/ropy mucoid discharge, all of which may be unilateral or asymmetric. A fair percentage of those affected suffer from obstructive sleep apnea (OSA). Complaints of loud snoring, gasping for air, erratic sleep patterns, chronic somnolence, and morning headaches suggest OSA. These patients' past history often includes meibomian gland dysfunction, chalazia, keratoconus, contact lens use, and seasonal allergic conjunctivitis.

Codes

ICD10CM:
H02.89 – Other specified disorders of eyelid

SNOMEDCT:
231812008 – Floppy eyelid syndrome

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

The biggest pitfall in making the diagnosis of FES occurs when one concentrates on the underlying or associated conditions and fails to check the eyelids for FES.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 06/18/2018
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Floppy eyelid syndrome - External and Internal Eye
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Floppy eyelid syndrome : Eye burning, Eyelid ptosis, Ectropion, Conjunctival injection, Mucopurulent eye discharge
Clinical image of Floppy eyelid syndrome
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