Vision Scotland : Better vision for life
Vision Scotland | Better vision for life
Surgery for ectropion & entropian
Eyelid ptosis affects the muscles in the eyelid that are designed to lift the upper eyelid. It causes drooping of the upper eyelid. Ptosis occurs due to a dysfunction of the muscles or nerve supply that control the raising and lowering of the eyelid. It can affect one eye or both. The drooping may be worse after being awake longer, when the individual’s muscles are tired. It is possible to be born with ptosis but more common to develop with ageing.
It can also be caused in contact lens wearers who are in continuous contact with the eye when removing / inserting lenses. Ptosis can, on rare occasions be caused by neuromuscular disease. Eyelid ptosis can also occur with the use of some drugs, following eyelid trauma or as a by-product of an eyelid lump such as a large chalazion or tumour. If sever and left untreated, ptosis can cause other conditions such as amblyopia or astigmatism. In rare cases where children suffer from the condition, it is important that ptosis is treated to prevent onward development of vision.
A full ophthalmic examination is performed to check visual function, eye movement, the eyelid condition and the ocular surface. A full face examination is performed where special eyelid measurements are taken and a phenylephrine test is performed to assess the degree and type of ptosis. This helps decide the specific surgery that may be required. The only permanent way to treat eyelid ptosis is with surgery. Occasionally, injection treatments or eye drops can be used to temporarily rectify minor upper eyelid ptosis.
Ptosis patient journey
Upper eyelid ptosis surgery is used to treat age-related drooping of the eyelids, contact lens-related drooping of the eyelids or eyelids which have been droopy from early childhood. Because the eyelid position is fine-tuned during surgery, it is quite important that you are awake throughout this procedure and can cooperate with the surgeon’s instructions.
You should expect the procedure to be slightly uncomfortable during the initial anaesthetic injections and also when the eyelid muscle is actually tightened. Afterwards there will be some bruising and swelling, and the eyelid stitches will need to be removed after approximately 10 days