M-FES plasty – novel surgical technique of Floppy Eyelid Syndrome as a secret to provide ocular surface success.
Author: Paulina Szabelska
Base Hospital / Institution: Military Institute of Aviation Medicine, Warsaw, Poland
ePoster presentation
Abstract ID: 24-490
Purpose
Floppy eyelid syndrome (FES) is a dysfunction of the eyelids in which its spontaneous everting during the sleep and chronic irritation of the ocular surface can be observed. Surgical treatment of FES has to be applied in some cases to improve the functionality and cosmetic appearance of the eyes. Our study presents our own technique of FES treatment which combined Müllerectomy and wedge resection of the upper eyelid, as well as the outcomes after performed surgery.
Methods
45-year-old men reported to Ophthalmology Department complaining of long-term irritation, redness and mucopurulent discharge in the conjunctival sac. Patient was qualified for FES surgical treatment (M-FES plasty technique), which stabilized eyelid margin and improved ocular surface condition in long-term observation
Results
M-FES plasty treatment results in a tinner and elevated eyelid, as well as wider palpebral fissure. Redness of the eye surface and lid margin was reduced and mucopurulent discharge in the conjunctival sac was not observed. Proper diagnosis and treatment allowed to improve patient’s quality of life.
Conclusion
FES is an eyelid condition which may be an important sign of the general pathology – obstructive sleep apnea. It is often difficult to diagnose and in many cases the diagnosis is made quite late. Among the variety of eyelid surgical techniques, the novel M-FES plasty technique seems to be an interesting and innovative treatment option in patients with FES.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Dominika | Białas | Military Institute of Aviation Medicine, Warsaw, Poland |
| Joanna | Gołębiewska | Military Institute of Aviation Medicine, Warsaw, Poland |
| Radosław | Różycki | Military Institute of Aviation Medicine, Warsaw, Poland |
