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Floppy Eyelid Syndrome

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Abstract

Floppy eyelid syndrome (FES) is described as easily everted upper eyelids and associated papillary conjunctivitis. It can lead to many serious ocular and systemic complications, and ophthalmologists should be aware of it because of the strong associations and potential systemic hazards. The treatment of the ocular problems is usually surgical.

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Suggested Readings

  1. Culbertson WW, Ostler HB. The floppy eyelid syndrome. Am J Ophthalmol. 1981;92:568–75.

    Google Scholar 

  2. Moore MB, Harrington J, McCulley JP. Floppy eyelid syndrome: management including surgery. Ophthalmology. 1986;93:184–8.

    Google Scholar 

  3. Pihlblad MS, Schaefer DP. Eyelid laxity, obesity, and obstructive sleep apnea in keratoconus. Cornea. 2013;32:1232–6.

    Google Scholar 

  4. Culbertson WW, Tseng SCG. Corneal disorders in floppy eyelid syndrome. Cornea. 1994;13:33–42.

    Google Scholar 

  5. Schlötzer-Schrehardt U, Stojkovic M, Hofmann-Rummelt C, Cursiefen C, Kruse FE, Holbach LM. The pathogenesis of floppy eyelid syndrome: Involvement of matrix metalloproteinases in elastic fiber degradation. Ophthalmology. 2005;112:694–704.

    Google Scholar 

  6. Pham TT, Perry JD. Floppy eyelid syndrome. Curr Opin Ophthalmol. 2007;18:430–3.

    Google Scholar 

  7. Ezra DG, Beaconsfield M, Collin R. Floppy eyelid syndrome: stretching the limits. Surv Ophthalmol. 2010;55:35–46.

    Google Scholar 

  8. Goldberg RA, Coden DJ, Hornblass A, Mitchell JP. Floppy eyelid syndrome associated with marked lower eyelid ectropion. Am J Ophthalmol. 1989;108:610–2.

    Google Scholar 

  9. Ezra DG, Beaconsfield M, Sira M, Bunce C, Wormald R, Collin R. The associations of floppy eyelid syndrome: a case-control study. Ophthalmology. 2010;117:831–8.

    Google Scholar 

  10. Langford JD, Linberg JV. A new physical finding in floppy eyelid syndrome. Ophthalmology. 1998;105:165–9.

    Google Scholar 

  11. Apostolopoulos M, Papaspirou A, Damanakis A, Theodossiadis G, Moschos M. Bilateral optic neuropathy associated with voluntary globe luxation and floppy eyelid syndrome. Arch Ophthalmol. 2004;122:1555–6.

    Google Scholar 

  12. Gonnering RS, Sonneland PR. Meibomian gland dysfunction in floppy eyelid syndrome. Ophthalmic Plast Reconstr Surg. 2006;3:99–104.

    Google Scholar 

  13. Goldberg R, Seiff S, McFarland J, Simons K, Shorr N. Floppy eyelid syndrome and blepharochalasis. Am J Ophthalmol. 1986;102:376–81.

    Google Scholar 

  14. Liu DTS, Di Pascuale MA, Sawai J, Gao YY, Tseng SCG. Tear film dynamics in floppy eyelid syndrome. Investig Ophthalmol Vis Sci. 2005;46:1188–94.

    Google Scholar 

  15. Karger RA, White WA, Park WC, Rosales AG, McLaren JW, Olson EJ, et al. Prevalence of floppy eyelid syndrome in obstructive sleep apnea-hypopnea syndrome. Ophthalmology. 2006;113:1669–74.

    Google Scholar 

  16. McNab AA. Floppy eyelid syndrome and obstructive sleep apnea. Ophthal Plast Reconstr Surg. 1997;13:98–114.

    Google Scholar 

  17. Boulton JE, Sullivan TJ. Floppy eyelid syndrome and mental retardation. Ophthalmology. 2000;107:1989–91.

    Google Scholar 

  18. Reyniers R, Paridaens D. Spontaneous globe luxation and floppy eyelid syndrome in a patient with Hashimoto’s disease. Eye. 2007;21:303–4.

    Google Scholar 

  19. McNab AA. Reversal of floppy eyelid syndrome with treatment of obstructive sleep apnoea. Clin Exp Ophthalmol. 2000;28:125–6.

    Google Scholar 

  20. Scholten E, Marck KW, Grond AJ. Surgical correction of floppy eyelids. Br J Plast Surg. 1998;51:264–6.

    Google Scholar 

  21. Seiff SR. Surgical management of seventh nerve paralysis and floppy eyelid syndrome. Curr Opin Ophthalmol. 1999;10:242–6.

    Google Scholar 

  22. Dutton JJ. Surgical management of floppy eyelid syndrome. Am J Ophthalmol. 1985;99:557–60.

    Google Scholar 

  23. Tanenbaum M. A rational approach to the patient with floppy/lax eyelids. Br J Ophthalmol. 1994;78:663–4.

    Google Scholar 

  24. Valenzuela AA, Sullivan TJ. Medial upper eyelid shortening to correct medial eyelid laxity in floppy eyelid syndrome: a new surgical approach. Ophthalmic Plast Reconstr Surg. 2005;21:259–63.

    Google Scholar 

  25. Periman LM, Sires BS. Floppy eyelid syndrome: a modified surgical technique. Ophthal Plast Reconstr Surg. 2002;18:370–2.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, 34093 Çapa – Fatih, Istanbul, Turkey

    Can Öztürker

  2. Rufus Eye Microsurgical Center, Hakkı Yeten Cad., Aşçıoğlu Plaza 17/14, 34394 Fulya, Beşiktaş, Istanbul, Turkey

    Pelin Kaynak

Authors
  1. Can Öztürker
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  2. Pelin Kaynak
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Corresponding author

Correspondence to Can Öztürker .

Editor information

Editors and Affiliations

  1. Cairo University, Dokki, Cario, Egypt

    Essam A. El Toukhy

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Öztürker, C., Kaynak, P. (2020). Floppy Eyelid Syndrome. In: El Toukhy, E. (eds) Oculoplastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-36934-7_7

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  • DOI: https://doi.org/10.1007/978-3-030-36934-7_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36933-0

  • Online ISBN: 978-3-030-36934-7

  • eBook Packages: MedicineMedicine (R0)

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