A rare sight: Childhood blepharochalasis presenting as recurrent eyelid swelling: A case report

• Published in: International journal of surgery case reports Vol. 121; p. 110047
• Main Authors: Ismail, Ahmad, Khalid, Muhammad Omer, Ismail, Muhammad Shair, Fatima, Urooj, Ashraf, Muhammad Fawad
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.08.2024
• Subjects: Blepharochalasis; Blephroplasty; Eyelids swelling; Blephroplasty; Blepharochalasis; Eyelids swelling
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.110047

Blepharochalasis is a rare eyelid condition that usually affects the upper eyelids and is characterized by persistent, painless edema. This article emphasizes how difficult it can be to diagnose blepharochalasis and how crucial it is to take it into account when making a differential diagnosis for recurrent eyelid swelling. Additionally, it highlights the necessity of surgical intervention and the limited effectiveness of medicinal therapy. This case report features a 12-year-old kid who has experienced recurring swelling of the upper eyelid for the previous six years. This was eventually diagnosed as a rare condition called blepharochalasis, and treated with blepharoplasty. When nephrotic syndrome was first suspected, systemic involvement was ruled out by careful investigation. Upon physical examination, there was laxity of the eyelids and bilateral ptosis. Renal and liver function tests, among other laboratory testing, came back within normal ranges. The patient was sent to plastic surgery and had blepharoplasty. Blepharochalasis presents with recurrent eyelids swelling and is often misdiagnosed as other pathologies such as nephrotic syndrome. This case highlights the importance of clinical manifestation and management of blepharochalasis. •A 12-year-old boy with recurrent, painless upper eyelid swelling was diagnosed with blepharochalasis.•Examination revealed bilateral ptosis and eyelid laxity with normal lab results.•The patient had successful blepharoplasty, emphasizing the need for surgical intervention.