Eye Plastic Associates - September 2025

How to Manage Styes and Recurring Chalazions Floppy Lids and Foggy Days THE STEEP COST OF SLEEP APNEA

This is one occasion where I hope an article in this newsletter does put you to sleep.

reduces the sleeper’s oxygen level, causing the brain to become aroused and triggering a deep breath. This cycle continues throughout the sleep episode, causing microawakenings that prevent an individual from resting properly. This disease, more common in men or postmenopausal women, is typically caused by obesity, chronic nasal congestion, or fat deposits in the neck, and can be worsened by smoking or alcohol consumption. Snoring is one of the telltale signs of airway obstruction. People with obstructive sleep apnea have a significantly higher risk of daytime sleepiness, decreased cognitive function, hypertension, arrhythmias, heart failure, stroke, and coronary artery disease.

to them), obstructive sleep apnea can impact how your eyes look. Due to an apnea-related condition called floppy eyelid syndrome (FES), the lashes on the upper eyelid hang down, and the lid slides back and forth horizontally. When I see a patient with clear signs of FES, I’ll inquire about their sleep habits, whether they snore, and if they have family history of obstructive sleep apnea. I also give them a STOP-BANG Sleep Apnea Questionnaire, which is a series of questions to assess this diagnosis. If it is at all positive the patient should be tested for obstructive sleep apnea. This disease can be progressive and wreak havoc on your life. Please contact me if you have any questions about FES and how it may be a sign of serious sleep issues — and never ignore a snore!

To be more precise, I hope the following words help you get a better night’s rest and enjoy a healthier and happier life. At Eye Plastic Associates, I regularly see patients who don’t get enough rest. I can identify their lack of slumber without their saying a word to me about it, as their eyes tell me they likely suffer from obstructive sleep apnea. Obstructive sleep apnea is a disease caused by laxity and anatomical issues in the back of the throat, where the tongue and its supportive soft tissue relax when the person sleeps. This relaxation causes the tongue to swing back and forth and obstruct the airway. A completely blocked airway is called an apneic spell; a partially blocked one is called a hypopnea. This airway obstruction

In addition to disrupting a good night’s sleep (for the sufferer and often for the person sleeping next

Creamy Cauliflower Soup Inspired by CookieAndKate.com

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INGREDIENTS •

DIRECTIONS 1. Preheat oven to 425 F. 2. On a rimmed baking sheet lined with parchment paper, toss cauliflower with 2 tbsp olive oil. 3. Arrange cauliflower in a single

1 large head cauliflower, cut into bite-size florets 3 tbsp extra-virgin olive oil, divided 1/4 tsp fine sea salt, plus more 1 medium red onion, chopped 2 cloves garlic, pressed or minced 4 cups vegetable broth 2 tbsp unsalted butter 1 tbsp fresh lemon juice 1/4 tsp ground nutmeg 2 tbsp chopped flat-leaf parsley, chives, or green onions for garnish

layer, sprinkle with a little salt, and bake 25–35 minutes until tender.

4. In a soup pot, heat remaining olive oil and cook onion and 1/4 tsp salt until soft. 5. Add garlic and cook 30 seconds until fragrant, then add broth. 6. Add all but 4 cauliflower florets to the pot and simmer for 20 minutes. 7. Transfer mixture to a blender, add butter, and blend until smooth. Then blend in lemon juice and nutmeg. 8. Garnish with cauliflower florets and serve. Add parsley, onion, and chives as desired.

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