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Correction of eyelid anomalies in pachydermoperiostosis
H Friedhofer1, A G Salles, R Gemperli
1Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Brazil.
Purpose:
Pachydermoperiostosis, or primary hypertrophic osteoarthropathy, is a rare disease, characterized by pachydermia, acropathy, and periostosis. The authors propose the surgical correction of the eyelid anomalies in one stage.
Methods:
A 30-year-old patient with moderate blepharoptosis (3 mm) and increased vertical and horizontal dimensions of the upper eyelids underwent fusiform transverse excision of skin, orbicularis muscle, and tarsus; shortening of the levator palpebrae superioris apeoneurosis by 13 mm; and 8-mm-wide wedge excision.
Results:
Histologic findings included hyperplasia of the tarso-conjunctival plate, obstructive cystic dilatation of the sebaceous glands, extensive fibrosis, and granulomatous reaction. Satisfactory functional and aesthetic results were observed after surgery.
Conclusion:
Upper eyelid anomalies in pachydermoperiostosis can be corrected in a single stage bilaterally with good results.