Which statement about Dermatochalasis is NOT true?

• A. It most commonly affects elderly patients
• B. It often presents with eyelid ptosis
• C. It can often cause an inferior VF defect
• D. Main treatment is blepharoplasty

Answer: (C)

Dermatochalasis is excess, lax upper eyelid skin from aging that can hang over the lashes and weigh down the lid. This condition commonly affects older individuals and can create a functional or pseudo-ptosis, since the weight of the skin makes it harder for the eyelid to elevate fully. Because the redundant skin sits over the upper lid, it tends to encroach on the superior visual field, not the inferior—so a statement claiming it frequently causes an inferior visual field defect isn’t accurate. The main treatment is blepharoplasty, which removes the excess skin; if true ptosis is also present due to levator dysfunction, a ptosis repair may be added, but the primary intervention remains the removal of the excess skin.