If Ptosis Does Not Block Vision, then Ptosis Correction Surgery is a Matter of Preference скачать в хорошем качестве

If Ptosis Does Not Block Vision, then Ptosis Correction Surgery is a Matter of Preference

A man has ptosis since he was young. He wants to know which operation he needs to correct his eyelid. Dr. Amiya Prasad, a specialist in eyelid surgery and an oculoplastic surgeon, says that eyelid ptosis is a very common issue that he deals with. In congenital ptosis ,or ptosis acquired at birth, it’s important to make a decision about correction based on visual development prior to the age of 6. However, after age 6, it becomes about the aesthetics and symmetry. Patients can get a sense of whether or not lifting the eye interferes with their visual function by manually lifting the affected upper eyelid. Dr. Prasad thinks that he should have a full ophthalmic evaluation to see what the best procedure is to correct his vision in both eyes and see the impact of lifting his eyelid. There are conditions such as amblyopia where the visual function of one eye doesn’t develop because of partial occlusion and lack of stimulation of the eye before age of 6. It is usually not a problem because it’s more about the aesthetics. Assuming he can tolerate the eyelid being open, Dr. Prasad thinks the choice of when to do surgery is a personal choice. If the drooping eyelid bothers him enough, then having a procedure makes a sense. He always tells his patients with ptosis that they’ll have a minimum of 3 operations in their lifetime: one will be when they’re very young for functional reasons, the second will be in their teens to twenties for cosmetic reasons, and the third on the later decades because everything starts to droop and the eyelid needs to be lifted again. In this man’s situation, Dr. Prasad says he has to see what kind of ptosis surgery is appropriate for him. There’s ptosis surgery that’s based on good muscle function and there’s surgery based on poor muscle function. Depending on that, he would figure out whether to shorten the levator muscle, the muscle that lifts the eyelid, or whether to do something called a frontalis sling. This procedure is when the eyelid is attached through a connection between the eyelid margin and the eyebrow so that when the eyebrow is raised, the eyelid opens. Another thing that Dr. Prasad does in his practice for patients who are not children and are old enough to cooperate is doing ptosis surgery with local anesthesia with LITE™IV sedation. He lets the patient be awake for the adjustment of the eyelid. This is a specialized area, and a tricky thing about ptosis surgery is achieving the optimal shape, contour and height so that there’s maximal symmetry. He tries to achieve symmetry by having his patients sit up during the surgery. They never feel any pain but at least they are able to try to judge whether or not the eyelid would be stable and looks good with gravity factored in. Ptosis surgery can turn out to be very gratifying for the patients and make a tremendous difference in their appearance and confidence. Getting some opinions from professionals and specialists such as oculoplastic surgeons or oculofacial plastic surgeons will give him an idea of what his options are. To learn more about ptosis surgery, please visit: http://prasadcosmeticsurgery.com/pras...