Checking Cause of Drooping Eyelid is Important before Deciding on Ptosis Surgery скачать в хорошем качестве

Checking Cause of Drooping Eyelid is Important before Deciding on Ptosis Surgery

A woman has had a drooping eyelid for a very long time. She didn’t have it when she was born , but it started to appear later in her life. She wants to know the best options to fix her eye. Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, has also been boarded in ophthalmology, did eye surgery residency as well as fellowship training in plastic surgery of the eyes and face called oculoplastic or oculofacial. He has been practicing for over 20 years. He explains that there are two types of ptosis: congenital which is someone who was born with ptosis, and acquired ptosis or someone who wasn’t born with it. For a person with acquired ptosis, they first need rule out any neurologic issues that could be associated with the drooping of the eyelid. Meeting with an ophthalmologist or neuroophthalmologist is important to check neurologic causes for ptosis. There are conditions such as Horner’s Syndrome which causes a mild ptosis that may or may not be associated with her situation. Doctors don’t make diagnoses based on photos alone. Acquired ptosis is related to the physical muscle that lifts the eyelid called levator muscle. There is also a tendon called the aponeurosis so it’s called levator aponeurosis that has to be addressed. There are a few ways to address mild acquired ptosis and these are surgical procedures. Some doctors are more comfortable by doing the procedure from the front while others are willing to do it behind the eyelid depending on the degree of the ptosis, and how much elevation they’re looking to perform. Ptosis is tricky surgery because the muscle that lifts the eyelid is very sensitive and therefore it is a challenge to get the right height, shape, contour and symmetry. When Dr. Prasad performs ptosis surgery in his practice, he actually lets the patient open and close their eyes and sits them up during the procedure. Occasionally, he hands them a mirror to show them what their eye looks like. It sounds strange but there is never any pain because they're numb. Through this, he is able to get the ideal height, shape and contour so 95% of the time after the surgery, the appearance will match what was during surgery. Various factors such as the way the person heals, whether the muscle was slightly anesthetized, or multiple factors can lead to either to overcorrection or the eyelid too high, or undercorrection where the eyelid is too low. Ptosis surgery is always an option, but first diagnosis is critically important. Dr. Prasad’s advice is to meet first with an ophthalmologist or neurophthalmologist to get an understanding whether or not there are other potential neurologic causes of the ptosis. Once those are ruled out, then exploring surgical options is a good choice. For more information about ptosis surgery, please visit our website: http://prasadcosmeticsurgery.com/pras...