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What is Eye Laxity?

Published in Ophthalmology 2 mins read

Eye laxity refers to the looseness or slackness of the eyelids, making them easily distractible or pulled away from the eyeball.

More specifically, eye laxity means that the upper and/or lower eyelid margins can be easily pulled away from the surface of the eye. This condition can be a component of several eye conditions, most notably floppy eyelid syndrome (FES).

Here's a breakdown:

  • Definition: Looseness or increased mobility of the eyelids.
  • Manifestation: Eyelids can be easily pulled away from the eye surface.
  • Association: Frequently seen as a component of Floppy Eyelid Syndrome (FES). This association was described by Culbertson and Ostler in 1981.

Floppy Eyelid Syndrome (FES) and Eye Laxity:

In FES, the eyelids are particularly lax and rubbery. This can lead to the following issues:

  • Eyelid eversion during sleep: The eyelids can easily flip inside out during sleep.
  • Chronic papillary conjunctivitis: Inflammation of the inner surface of the eyelids and the surface of the eye.
  • Corneal irritation: Due to exposure and friction, the cornea may become irritated or damaged.

Causes of Eye Laxity:

While often associated with FES, eye laxity can also occur due to:

  • Age-related changes: As we age, the tissues in our eyelids can lose elasticity.
  • Connective tissue disorders: Certain conditions can affect the strength and integrity of connective tissues.

Eye laxity, particularly when associated with FES, requires proper diagnosis and management to prevent complications such as corneal damage and chronic eye irritation. If you suspect you have eye laxity, consult an ophthalmologist for evaluation and treatment options.

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