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Ascher's syndrome is a rare clinical entity distinguished by blepharochalasis, double upper lip appearance, and nontoxic goiter. Nontoxic goiter is a rare finding, occurring in only 10-50% of cases. It may appear several years following the onset of blepharochalasis, so it is not
Blepharochalasis is an inflammation of the eyelid that is characterized by exacerbations and remissions of eyelid edema, which results in a stretching and subsequent atrophy of the eyelid tissue, leading to the formation of redundant folds over the lid margins. It typically affects only the upper eyelids, and may be unilateral as well as bilateral.
(H02.3) Blepharochalasis (H02.4) Ptosis (H02.5) Stye, an acne type infection of the sebaceous glands on or near the eyelid. (H02.6) Xanthelasma of eyelid (H03.0*) Parasitic infestation of eyelid in diseases classified elsewhere Dermatitis of eyelid due to Demodex species ( B88.0+ ) Parasitic infestation of eyelid in: leishmaniasis ( B55.-+ )
Currently there is no treatment for this condition, but, it is usually self limiting. [1] Systemic administration of corticosteroids may be advised. [2] Even if the disease is resolved, the enlarged blind spot usually does not return to normal. [5]
Normally, in Caucasians, the orbicularis muscle and overlying skin form a crease near the tarsal border. [3] In dermatochalasis, the excess tissues hangs down, over the front edge of the eyelid . The excess tissue can sometimes obstruct the visual field, especially the superior visual field. [ 1 ]
Madarosis has different possible treatments and can be reversed if treated early enough. The treatments for madarosis are completely dependent upon the pre-existing condition. When treating blepharitis, antibiotics are used to combat the bacterial infection. People with trichotillomania need to seek behavioral and psychological help.
Mild conjunctivochalasis can be asymptomatic and in such cases does not require treatment. Lubricating eye drops may be tried but are often ineffective. [8] If discomfort persists after standard dry eye treatment and anti-inflammatory therapy, surgery may be undertaken to remove the conjunctival folds and restore a smooth tear film.
Blepharophimosis forms a part of blepharophimosis, ptosis, epicanthus inversus syndrome (BPES), also called blepharophimosis syndrome, which is an autosomal dominant condition characterised by blepharophimosis, ptosis (upper eyelid drooping), epicanthus inversus (skin folds by the nasal bridge, more prominent lower than upper lid) and telecanthus (widening of the distance between the inner ...