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 Table of Contents    
CLINICAL QUIZ
Year : 2022  |  Volume : 15  |  Issue : 3  |  Page : 437-438  

Loose lids sync sleep?


Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Medical Research Foundation, Chennai, Tamil Nadu, India

Date of Submission09-Mar-2021
Date of Acceptance16-Mar-2021
Date of Web Publication02-Nov-2022

Correspondence Address:
Bipasha Mukherjee
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Medical Research Foundation, 18 College Road, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ojo.ojo_70_21

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How to cite this article:
Koka K, Shah PJ, Mukherjee B. Loose lids sync sleep?. Oman J Ophthalmol 2022;15:437-8

How to cite this URL:
Koka K, Shah PJ, Mukherjee B. Loose lids sync sleep?. Oman J Ophthalmol [serial online] 2022 [cited 2022 Nov 28];15:437-8. Available from: https://www.ojoonline.org/text.asp?2022/15/3/437/360423




   Case Top


A 30-year-old obese Asian-Indian male patient presented to the Oculoplasty clinic complaining of intermittent watering and irritation of both eyes for 2 years. His best-corrected visual acuity was 20/20 in both eyes. On slit-lamp biomicroscopic examination, both eyes showed meibomian gland dysfunction, conjunctival congestion, and presence of papillae in upper palpebral conjunctiva [Figure 1]a. His upper eyelids could be easily everted with distraction of about 8–10 mm [Figure 1]b. Superficial punctate keratitis was present in both the eyes. The tear meniscus height and tear film breakup time was found to be decreased. Schirmer's test was 3 mm. Rest of the anterior segment examination revealed normal findings including intraocular pressure. Fundus examination on indirect ophthalmoscopy was within normal limits. On further questioning, the patient acquiesced to feeling sleepy during the day and also his wife complained that he snores during sleep. He did not have any other systemic abnormality.
Figure 1: (a) Slit-lamp photograph showing conjunctival congestion, and the presence of papillae in the upper palpebral conjunctiva. (b) Easily everted upper eyelids with distraction of about 8–10 mm

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   Questions Top


  1. What is the diagnosis?
  2. What will you do next?”



   Answers for Clinical Quiz Top




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   References Top

1.
Pham TT, Perry JD. Floppy eyelid syndrome. Curr Opin Ophthalmol 2007;18:430-3.  Back to cited text no. 1
    
2.
Salinas R, Puig M, Fry CL, Johnson DA, Kheirkhah A. Floppy eyelid syndrome: A comprehensive review. Ocul Surf 2020;18:31-9.  Back to cited text no. 2
    
3.
Wang P, Yu DJ, Feng G, Long ZH, Liu CJ, Li H, et al. Is floppy eyelid syndrome more prevalent in obstructive sleep apnea syndrome patients? J Ophthalmol 2016;2016:6980281.  Back to cited text no. 3
    


    Figures

  [Figure 1]



 

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