Floppy eyelid syndrome: A comprehensive review

被引:46
作者
Salinas, Ricardo [1 ]
Puig, Madeleine [1 ]
Fry, Constance L. [1 ]
Johnson, Daniel A. [1 ]
Kheirkhah, Ahmad [1 ]
机构
[1] Univ Texas Hlth San Antonio, Long Sch Med, Dept Ophthalmol, San Antonio, TX USA
关键词
OBSTRUCTIVE SLEEP-APNEA; SPONTANEOUS GLOBE LUXATION; CORNEAL BIOMECHANICAL PROPERTIES; EXTRACELLULAR-MATRIX; UNRECOGNIZED CAUSE; MECHANICAL-STRESS; OCULAR SURFACE; PATIENT; LAXITY; MANAGEMENT;
D O I
10.1016/j.jtos.2019.10.002
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Floppy eyelid syndrome (FES) is defined as eyelid hyperlaxity with reactive palpebral conjunctivitis. It is a common condition that can be associated with significant ocular irritation. FES presents with easily everted eyelids and chronic papillary conjunctivitis in the upper eyelids. It is frequently associated with ocular and systemic diseases, notably keratoconus and obstructive sleep apnea, respectively. This comprehensive review describes the epidemiology, pathological changes, proposed pathogenesis, clinical manifestations, and a variety of treatment options for this condition. Conservative treatment of FES includes aggressive lubrication, nighttime eye shield, and avoiding sleeping on the affected eye. Patients with FES and obstructive sleep apnea may have an improvement in their ocular signs and symptoms after long-term therapy with continuous positive airway pressure. In refractory cases, a corrective surgery that addresses the eyelid laxity can result in significant improvement. All patients with ocular irritation should be evaluated for the presence of FES.
引用
收藏
页码:31 / 39
页数:9
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