Floppy eyelid syndrome can cause exposure keratopathy.

• A. True
• B. False
• C. Not associated
• D. Only in children

Answer: (A)

Floppy eyelid syndrome involves marked laxity of the upper eyelid with easy eversion, so the lid cannot adequately cover the eye, especially during sleep. This leads to the cornea being exposed to the environment and to friction from the lid, causing drying and mechanical trauma to the corneal epithelium. That combination produces exposure keratopathy, with symptoms like irritation and surface epithelial defects. So the statement is true: exposure keratopathy can occur with floppy eyelid syndrome. This condition typically affects middle-aged individuals (often with obesity) rather than children, and treatment aims to protect the surface and tighten the lid to restore proper coverage.