Chronic eye irritation associated with a serious sleep disorder

The condition can mimic other symptoms

Matthew, a 38-year-old man with obesity, presents with an enlarging right upper eyelid mass associated with copious mucoid ocular discharge.

floppy eyelid

It is particularly severe in the morning. He works night shifts, is a heavy smoker and has a BMI of 39.

He has a background of poorly controlled hypertension despite compliance with a calcium channel blocker and ACE inhibitor. Systemic workup has failed to identify a secondary cause for his hypertension.

He has seen his GP on multiple occasions with conjunctivitis and ocular discharge associated with burning,