![]() ![]() Normal optic disc, macula, vasculature, and periphery OU.Cornea: Diffuse punctatr epithelial erosions (PEE) with central thinning OD, clear OS.Conjunctiva/Sclera: Bulbar conjunctival injection superiorly OD>OS upper palpebral papillary conjunctival reaction OD.Equal, no relative afferent pupillary defect (RAPD).Margin reflex distance: 1.5mm OD, 2.5mm OS.OS: significant eversion of the upper eyelid with minimal upward traction.OD: lateral ptosis, significant eversion of the upper eyelid with minimal upward traction significant lower eyelid laxity. ![]() Mother with history of migraine headaches.Initially, he believed the symptoms were due to allergies, but the symptoms have persisted even as his nasal congestion and sneezing have resolved with over-the-counter allergy medications. He notices that the symptoms are worse in the morning and are occasionally associated with a clear discharge from his eyes. He states that he has been experiencing burning, tearing, and a gritty feeling in his eyes nearly every day for the last six weeks and intermittently for several months before that. The patient is a 42-year-old male who presents with a six week history of right eye irritation and discharge. Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome PATIENT #1 INITIAL PRESENTATION Chief ComplaintĮye irritation History of Present Illness ![]()
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