title: Floppy eyelid syndrome: the coventry experience.
abstract: OBJECTIVE
  Floppy eyelid syndrome is a condition that is difficult to identify and diagnose and with no clear guidelines on its management. We propose a method of reliably grading this syndrome and have proposed a management algorithm based on the grading.
  
  
  METHODS
  Retrospective data collection of patients diagnosed with Floppy eyelid syndrome and treated under the care of a single oculoplastic surgeon over a 9 year period.
  
  
  RESULTS
  First, 102 patients were included and were classified into 3 groups. Grade 1 (F1) 7.5%, Grade 2 (F2) 36.5% and Grade 3 (F3) 56%. Only 12% of our cohort required surgery, and 92% of these patients demonstrated improvement in their symptoms.
  
  
  CONCLUSIONS
  Clinical grading of Floppy eyelid syndrome patients will help determine patient's management plan. In our experience, operating on both upper and lower eyelids at the same time where indicated helps to maintain the normal anatomical relationship and improve epiphora.
authors.affiliation: University Hospital Coventry and Warwickshire NHS Trust , Coventry, West Midlands , United Kingdom.
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Yeung
authors.forename: Imran
authors.initials: I
authors.lastname: Ashfaq
authors.forename: Yajati K
authors.initials: YK
authors.lastname: Ghosh
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kyprianou
authors.forename: Harpreet Singh
authors.initials: HS
authors.lastname: Ahluwalia
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D001762:Blepharitis / Q000175:diagnosis; D001763:Blepharoptosis / Q000175:diagnosis; D003231:Conjunctivitis / Q000175:diagnosis; D005141:Eyelid Diseases / Q000145:classification* / Q000601:surgery*; D005260:Female; D006801:Humans; D007766:Lacrimal Apparatus Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D055815:Young Adult
keywords: Floppy eyelid; grading; management