title: Floppy eyelid syndrome: a diagnostic dilemma.
abstract: BACKGROUND
  Floppy eyelid syndrome may be the underlining cause of papillary keratoconjunctivitis. Patients initially report a nonspecific irritation, redness, or a foreign body sensation.
  
  
  METHODS
  As a result of its vague presentation, floppy eyelid syndrome is frequently misdiagnosed. A careful slit-lamp evaluation and a complete history aids in the diagnosis.
  
  
  CONCLUSIONS
  The most distinctive feature of floppy eye syndrome is a pliant upper tarsus that is easily everted without excess manipulation. Histopathology has attributed the laxity of the lid to a decreased amount of elastin within the tarsus. Treatment includes prevention of the upper lid from everting during sleep or surgical procedures such as horizontal eyelid shortening. Our case report illustrates a patient with a classic case of floppy eyelid syndrome.
authors.affiliation: Fox Medical Center, Miami, Florida, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Dufek
authors.forename: D L
authors.initials: DL
authors.lastname: Shechtman
mesh_terms: D003233:Conjunctivitis, Allergic / Q000150:complications; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000175:diagnosis* / Q000209:etiology; D005143:Eyelids / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013577:Syndrome