The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Chalazion scar causing unequal skin creases

Photo by Professor Chua Chung Nen

A 5-year-old boy who did not have upper eyelid skin creases developed unequal palpebral height as a result of a right horizontal upper eyelid scar. The scar arose from a spontaneously resolved large chalazion. The scar formed a barrier against skin hooding over the eyelid margin and the descent of preaponeurotic fat. Consequently, the right palpebral height appeared bigger than the left.

 

The scar is also the basis of asian blepharoplasty (double eyelid surgery) in creating a bigger looking eye.

 

Unequal palpebral height as a result of right upper eyelid scar.

 

Horizontal upper lid scar from a healed chalazion.

 

Close-up view of the right upper eyelid scar.

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