title: Management of floppy eyelid associated with Down's syndrome: a case report.
abstract: OBJECTIVE
  To report a case of floppy eyelid associated with Down's syndrome in a 2-year-old child.
  
  
  METHODS
  A 2-year-old child associated with Down's syndrome presented with a history of eversion of both upper lids during sleep and while crying since birth. There was no history of sleep apnea and no mechanical stimuli over eyelids. Examination under anesthesia revealed gross laxity with thick and rubbery tarsi in both the upper and lower lids. Vascularized corneal scar was present in both eyes. The laxity in the upper eyelids was corrected by pentagonal wedge resection and in the lower lids by lateral tarsal sling. No recurrence was observed up to 6-month follow-up.
  
  
  CONCLUSIONS
  Although floppy eyelid is more common in middle-aged obese patients, it should be carefully looked for children particularly while dealing with Down's syndrome.
authors.affiliation: Chittagong Eye Infirmary and Training complex, Pahartali, Chittagong, Bangladesh. murtuza.eyes@yahoo.com
authors.forename: Murtuza
authors.initials: M
authors.lastname: Nuruddin
mesh_terms: D004314:Down Syndrome / Q000150:complications*; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D007223:Infant; D009123:Muscle Hypotonia / Q000209:etiology* / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures