Correction of eyelid anomalies in pachydermoperiostosis.
OBJECTIVE
Pachydermoperiostosis, or primary hypertrophic osteoarthropathy, is a rare disease, characterized by pachydermia, acropathy, and periostosis. The authors propose the surgical correction of the eyelid anomalies in one stage.


METHODS
A 30-year-old patient with moderate blepharoptosis (3 mm) and increased vertical and horizontal dimensions of the upper eyelids underwent fusiform transverse excision of skin, orbicularis muscle, and tarsus; shortening of the levator palpebrae superioris apeoneurosis by 13 mm; and 8-mm-wide wedge excision.


RESULTS
Histologic findings included hyperplasia of the tarso-conjunctival plate, obstructive cystic dilatation of the sebaceous glands, extensive fibrosis, and granulomatous reaction. Satisfactory functional and aesthetic results were observed after surgery.


CONCLUSIONS
Upper eyelid anomalies in pachydermoperiostosis can be corrected in a single stage bilaterally with good results.
Friedhofer
H
H
Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Brazil.
Salles
A G
AG
Gemperli
R
R
Ferreira
M C
MC
D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D001763:Blepharoptosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D010004:Osteoarthropathy, Primary Hypertrophic / Q000150:complications* / Q000473:pathology