Age-related eyelid changes

Abstract

Aging is a natural process where changes occur in multiple tissues, resulting in aesthetic and functional effects. Aging eyelids lead to a tired or sleepy appearance. Progressive changes continue throughout life; these may eventually affect the ocular surface and cause visual impairment. Objective is to report the pathophysiology of the common age-related eyelid disorders and the current management concepts. This article presents the pathophysiology and the surgical procedures of eyelid disorders, such as blepharoptosis, dermatochalasis, entropion, ectropion, baggy eyelids, epicanthus, and lateral canthal aging. In general, most age- related eyelid changes are corrected due to its to its associated cosmetic and functional problems. Management is based on anatomic factors contributing to the eyelid disorder. Conclusion is the choice of surgical procedure is based on the exact localisation of the eyelid pathology.