Eyelid thickening and ptosis associated with pachydermoperiostosis: a case report and review of literature.

UNLABELLED: The case of a 27-year-old Chinese patient with bilateral eyelid thickening and ptosis secondary to the rare condition of pachydermoperiostosis is presented. Surgical treatment was performed by horizontal tightening via a full-thickness wedge resection combined with levator shortening and advancement. Satisfactory aesthetic and functional results were achieved. The histopathology of eyelid tissue showed sebaceous gland hyperplasia and chronic inflammatory response. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .