Abstract:AIM: To investigate the localization and severity of dermatochalasis and accompanying pseudoptosis with age.
METHODS:One hundred and thirteen subjects with dermatochalasis were included in the study. Age, gender and body mass index(BMI)of the subjects were recorded. Palpebral fissure height(PFH)and marginal reflex distance(MRD)were measured in the primary position. The severity of dermatochalasis was assesed as Stage 1: behind eyelid margin(minimum 1 mm); Stage 2: inline with eyelid margin; Stage 3: before eyelid margin.
RESULTS: Mean age of the subjects were 52.7±8.6(range 32 to 74)y. Thirty-six cases(31.9%)were male and 77(68.1%)were female. The mean BMI was 30.3±4.7(range 21.5 to 36.6)kg/m2, mean PFH was 10.7±1.6(range 7 to 15)mm, mean MRD was 3.8±1.2(range 1 to 5)mm. In 30(26.5%)of the subjects dermatochalasis was localized behind eyelid margin, in 38(33.6%)it was inline with eyelid margin and in 45(39.8%)it was before eyelid margin. There was pseudoptosis due to dermatochalasis in 50(44.2%)of the subjects. Age was significantly different in terms of dermatochalasis severity. Mean ages of subjects with dermatochalasis localization behind or inline with eyelid margin(50.3±6.6, 50.5±9.5y), were significantly lower than subjects with dermatochalasis localization before eyelid corner(56.0±8.2y). Mean age of subjects with pseudoptosis were significantly higher(56.3±8.3y), than subjects without it(49.8±7.8y). There was no BMI difference between the subjects in terms of dermatochalasis severity and presence of pseudoptosis.
CONCLUSION:Dermatochalasis localization, severity and frequency of pseudoptosis increase with age.
