A rare case of pachydermoperiostosis associated with blepharoptosis and floppy eyelids

• Main Authors: Bipasha Mukherjee, Md. Shahid Alam
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Floppy eyelid; hypertrophic osteoarthropathy; meibography; pachydermoperiostitis
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=12;spage=938;epage=940;aulast=Mukherjee

Pachydermoperiostosis (PDP) is a multisystem disorder of mesenchymal origin. It is a form of hypertrophic osteoarthropathy. The typical clinical features include pachydermia, cutis verticus gyrata, digital clubbing, and periostosis. Patients present with mechanical ptosis resulting from markedly thickened eye lids. Floppy eye lids have rarely been reported in association with PDP. We describe a rare case of PDP associated with ptosis and floppy eye lids in an adult male. Meibomian gland dysfunction was documented by meibography. The patient underwent bilateral upper lid wedge resection, lateral tarsal strip, tarsectomy and external levator advancement with good cosmetic outcome following surgery.