Related Experiment Video
Updated: Apr 23, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
845
Floppy eyelid syndrome: the coventry experience.
Aaron M Yeung1, Imran Ashfaq, Yajati K Ghosh
1University Hospital Coventry and Warwickshire NHS Trust , Coventry, West Midlands , United Kingdom.
Orbit (Amsterdam, Netherlands)
|September 26, 2014
Summary
A new grading system for Floppy Eyelid Syndrome aids management. Surgical intervention for this eyelid condition, when indicated, led to significant symptom improvement in most patients.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
Background:
- Floppy Eyelid Syndrome (FES) presents diagnostic and management challenges.
- Lack of standardized grading and treatment guidelines complicates patient care.
Purpose of the Study:
- To introduce a reliable grading method for Floppy Eyelid Syndrome.
- To develop a management algorithm based on the proposed grading system.
Main Methods:
- Retrospective analysis of 102 patients diagnosed with FES.
- Treatment provided by a single oculoplastic surgeon over a 9-year period.
Main Results:
- Patients were classified into three grades: Grade 1 (7.5%), Grade 2 (36.5%), and Grade 3 (56%).
- Surgery was required for only 12% of patients.
- 92% of surgically treated patients experienced symptom improvement.
Conclusions:
- Clinical grading of FES is crucial for tailoring management strategies.
- Simultaneous surgical correction of both upper and lower eyelids, when necessary, preserves anatomical relationships and resolves epiphora.
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