|This 56 year old man suffered
from many years of recurrent mucous discharge in both eyes which
was much worse in the left than the right eye. He had had treatment for
possible allergic blepharoconjunctivitis including lid hygiene and various
eyedrops without improvement of the symptoms. In his latest visit, he mentioned
that the mucous discharge was worse in the morning and the left eye was
always sore. Examination revealed a left puffy eyelid and lash ptosis.
Eversion of the left upper lid revealed papillary conjunctivitis and the
presence of punctate keratitis. The left eyelid could also be easily everted.
Further questioning revealed that the patient slept on his left side and
the pillow was always stained with ocular discharge. A diagnosis of left
floppy eyelid syndrome was made. He was advised to tape his left lid at
bed time with significant improvement of the signs and symptoms.
Left puffy upper lid and eyelash ptosis.
The left upper lid can be easily everted with
patient's index finger.
The right upper lid could not be everted with
the patient's index finger.