Acute episode of eyelid oedema

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

“…Numerous authors document positive outcomes from the application of topical and systemic steroids. Only a few studies, meanwhile, are based on case series, and they only provide modest recommendations for improvement [ 10 ]. According to Karakonji et al, the use of oral doxycycline improved the acute stage of two patients with BS because of its matrix metalloproteinase inhibitory effects [ 11 ].…”

An unusual case of blepharochalasis

“…[2] Fever and other upper respiratory infection symptoms have been noted before the onset of blepharochalasis. [57] These episodes usually last several days, but can continue for weeks; inflammation and edema may be severe and may present acutely. [25]…”

“…Computed tomography (CT) scans in previous cases have shown no abnormal findings; biopsy results are nonspecific, showing mostly a decrease in elastic fibers. [25] Differential diagnoses include local transient edema, orbital cellulitis, recurrent angioedema, hereditary angioedema, and recurrent contact dermatitis. [2]…”

“…[5] Surgery was the only option for many years, but it does not cure blepharochalasis. Once remission occurs, these patients should be monitored since recurrences have been reported to occur up to six years after the previous episode.…”