A 87-year-old woman with diabetes returns to clinic with left facial swelling (Fig.1 F).  The swollen area has no wrinkles.  Her second complaint is "I cannot open my left eye early in the morning".  The left bottom eyelid is swollen and reddish (Fig.1 L). 

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Xin Wei, DDS, PhD, MS 1st edition 10/18/2019, last revision 10/19/2019