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Skin Disorders
Inflammation of the pores with variable lesions (comedones, papulopustules and/or cysts) of the face and trunk. This is common in adolescence and can lead to scarring.
Adult inflammatory and vascular condition of the face that ranges in severity and can effect the eyelids. Symptoms include facial flushing, pustules, and eventual formation of fine blood vessels (telangiectasia) and oil gland overgrowth (sebaceous hyperplasia).
Immunologic, inflammatory disease with multiple causes like atopy, allergy or contact irritants. It often results in itchy, dry skin. There are variants that develop as a child or are site specific.
Immunologic and Rheumatologic disease that manifests as pink plaques and bumps with a silver-white scale. The lesions commonly itch and can be localized or widespread.
Rashes, Insect Bites, and Skin Allergies
Skin is an organ with an immune system. Often sensitivity can arise due to drugs, irritants, bugs or hypersensitivity.
Viral skin lesions resulting from the human papilloma virus (HPV).
Viral skin lesions resulting from a poxvirus, common in children
Eyelid Diseases
Blepharitis is eyelid inflammation, often associated with rosacea. Results from a dandruff-like material on the eyelashes that causes chronic eye irritation, dry eye symptoms and eyelid redness. Symptoms can include burning, flaking, crusting, tearing, irritation, itching, redness in eyelid margins and a foreign body sensation.
Dry eyes can result from a number of factors that cause an inadequate amount of tears. Symptoms include burning, stinging, dryness and redness.
Uncontrollable twitching of the facial and eyelid muscles. This can cause an inability to open the eyes and irregular facial movements, but can be socially debilitating as well. After an evaluation, treatment may include Medical Botox® injections. Dr. Brannan has many years of experience with these rare diseases and has treated hundreds of patients.
Excessive eyelid laxity can be caused by obstructive sleep apnea, sleeping position or chronic eye rubbing. Eyelids are extremely loose, saggy and may block the upper part of vision. A form of chronic conjunctivitis (pink eye) is associated with this syndrome. Treating the sleep apnea and/or eyelid surgery are often required.
Lymphoma is a rare cancer composed of lymphocytes that can present as a mass in the eyelid, on the eye surface or in the eye socket.
Orbital Inflammation is an inflammatory condition of the eye socket (orbit) that may be auto-immune or infectious. Symptoms include sudden eye pain, redness, swelling and double vision.
Eyelid abscess, also known as chalazion, can result from a blocked oil gland or inflamed hair follicle. This can be treated with warm compresses and medication, but may require a minor procedure to drain the lesion.
Hyper- and hypothyroidism can manifest as eyelid retraction (eyelid opens too far), bulging of one or both eyes, double vision, or chronic eye redness. A combined approach with an endocrinologist is usually necessary in treating this disease.
Chronic, daily excessive tearing may be due to blockage within the tear duct. The lacrimal system provides tear outflow from the surface of the eye, into the nose. It can become obstructed for numerous reasons, leading to watery eye. A simple office procedure of irrigation can diagnose and occasionally cure this condition.
