Saturday, January 14, 2006

blepharochalasis (excessive upper lid skin)

Blepharochalasis is a common elderly abnormality in which there is eyelid atrophy and loss of skin elasticity and turgor. Usually a fold of tissue from the upper eyelid hangs over the upper eyelid margin. Up to 60 percent of elderly may exhibit some degree of blepharochalasis. Symptoms of this condition include a decrease in the visual field and ocular irritation from the lashes being pushed onto the cornea. Treatment is not usually necessary. If the fold of skin interferes with the person's visual field, causes excessive ocular irritation, or is cosmetically unacceptable, the excess skin may be surgically excised.
Newell, F. W. Ophthalmology Principles and Concepts, 6th ed. St. Louis: C. V. Mosby Co., 1986.

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