Transcutaneous Blepharoplasty in Blepharochalasis
A 23-year-old male presented with lax and wrinkled skin of lower eyelid since 4 years. Patient gives history of painless swelling of both eyelids associated with erythema on and off since 13 years. The episodes used to occur daily and used to subside within 2 hours. For the past one year he did not experience any swelling. Patient was a known diabetic (type 1 diabetes mellitus) since 10 years and on treatment.\nIn all the patients there was no laxity of skin elsewhere on the body. Patient 1 and 2 had levatorpalpebraesuperioris muscle weakness resulted in drooping of upper eyelids. The upper lip and thyroid were normal. Systemic examination revealed no abnormality. Ophthalmic examination was within normal limits. All haematological investigations were within normal limits except for case 3 who was a case of type 1 DM.