Floppy Eyelid Syndrome

Floppy Eyelid Syndrome
SYMPTOMS Ocular surface and eyelid irritation/discomfort
SIGNS Ocular surface and eyelid redness | Mucous | Easily everted rubbery upper lids
WORK-UP Thorough history and slit lamp examination | Upper lid eversion
TREATMENT Topical lubrication | Avoid sleeping in a face down position | Tape lids closed during sleep | Lid-tightening surgery may be performed in advanced cases
FOLLOW-UP Frequent follow-up is not necessary unless symptoms greatly worsen
ADDITIONAL LAB | TESTS Consider testing for sleep apnea
ETIOLOGY Currently unknown
DIFFERENTIAL DX Giant papillary conjunctivitis | Vernal keratoconjunctivitis
NOTES Association with sleep apnea, obesity, and keratoconus | Eyelids often evert during sleep, causing more discomfort in the morning