The image shows the eyes of a young school boy aged 17 years. Ever since boyhood, from about the age of 6 or so, he had suffered from severe sweating of the hands and, to some extent, of the axillae and feet – the condition of hyperhydrosis.
He readily agreed to have a bilateral upper thoracic sympathectomy and was delighted with the result – dry warm hands and cutaneous sweating under control. However, he noticed immediately after his operation (as did his surgeon) the appearance of his right eye.
What do you notice about the right eye and eyelid and what is this condition called ?