How to Diagnose and Treat Late Onset Ptosis скачать в хорошем качестве

How to Diagnose and Treat Late Onset Ptosis

A gentleman believes he has ptosis. He says he never had a problem with it when he was young. When he turned 17, he started to notice in pictures that his eyes looked strange. People started pointing out that his eyes were uneven. He squints a little to hide his condition. He wants to know the most effective way to get rid of upper eyelid drooping Dr. Amiya Prasad can see from this man's submitted photos that the ptosis is pretty obvious. He explains that when someone is born with ptosis, it may get a bit worse as they get older. If it is a new onset of ptosis, he has to rule out a neurologic cause or any other type of issue. In Dr. Prasad's practice, when people complain that they notice they have droopy lids, he asks them to bring some old pictures so he can see if there was some drooping in the past. A lot of times, people would compensate by raising their eyebrows to get their eyes to open. They may not notice this as time goes on, and the ptosis may get worse. Other things that can be related to ptosis can be eye rubbing or wearing of contact lenses. Dr. Prasad suggests that the first thing that one should do is to be evaluated so that there's no medical issue related to ptosis. Assuming there are no other deeper issues causing ptosis , Dr. Prasad says that the next step would be pursuing ptosis repair. It's normal to have slightly uneven eyes as long it's within 1-2 millimeters. When it becomes more than 1-2 millimeters, then people notice a difference between the eyes. When he does a ptosis correction, he always tries to get them as symmetric as possible; within a millimeter is considered a very good result. What Dr. Prasad typically does in ptosis repair is advance a muscle called levator muscle which is the muscle that lifts the eyelid. He also shortens the muscle in order to allow the eyelid to come up. During surgery, he lets the patient cooperate by letting them open their eyes. Once the eyelids come up, he can see that the balance, shape, height and contour of the eyes are equal. More than 95% of the time, it comes out ideally to the patient's satisfaction. There are also a few patients who need enhancement where the eyelid is too low or too high. Dr. Prasad recommends that the patient be evaluated by an eye doctor or ophthalmologist, or more specifically an oculoplastic surgeon who has a background on ophthalmology and specializes in eyelid surgery to determine whether or not there is a medical issue. If there isn't, then he can consider a cosmetic or reconstructive type of ptosis operation. http://prasadcosmeticsurgery.com/ More about ptosis repair here: http://prasadcosmeticsurgery.com/pras...