Author(s): Chinmayee J. T.1, T. K. Ramesh2, Vidhya Eswaran3
To report clinical profile of blepharochalasis and assess the surgical outcomes of levator reattachment in chronic blepharochalasis.
A retrospective chart review of 13 patients with acute and chronic blepharochalasis was made and the diagnosis was made based on the typical clinical findings. Patients with acute blepharochalasis were managed conservatively those with chronic blepharochalasis underwent levator reattachment surgery for the correction of blepharoptosis.
Age at presentation varied from 8 years to 13 years with no sex predilection. 4 patients presented in the acute stage and 9 patients presented in the chronic stage. All patients in the chronic stage had blepharoptosis along with other features of connective tissue laxity and underwent levator reattachment surgery with good postoperative outcomes.
In the acute stages, blepharochalasis is managed conservatively. However, in the chronic stages, management is essentially surgical. Levator reattachment is an excellent surgical procedure, which provides satisfactory postoperative outcomes.