Ptosis is a condition that causes the upper eyelid to droop. There are times when the droopiness is hardly noticeable, and there are instances when an eyelid can droop over the entire pupil. Although the condition can affect adults and children, the most common cause of ptosis is due to aging. Chase Lay, MD offers ptosis surgery to help correct this condition, either for cosmetic or functional reasons.
What are the Causes of Ptosis?
When the condition is present at birth, it is usually because of a developmental defect of the levator muscle. When ptosis forms in adulthood, it could be caused from eyelid swelling after trauma. In addition, it can also be caused by numerous neurologic disorders that include Horner’s Syndrome, oculomotor nerve palsy, and myasthenia gravis.
Who are Ideal Candidates for Ptosis Surgery?
Ptosis surgery is usually necessary when an individual’s eyelid has caused a partial or complete block of vision. When children have the condition, the surgery is needed to help their vision develop normally.
How is Ptosis Surgery Administered?
When ptosis surgery is administered on adults, the eyelid muscle is moved forward. If the levator muscle is weak, the muscle may be tightened so the lid will be raised to a higher position.
When frontalis suspension is administered, tiny strands of tissue will be put between the eyebrow and eyelid. The strands are then tightened, which will cause the eyelid to raise. If this type of technique is administered on a child, fibrous tissues could be taken from the leg of a donor or the child. Although this technique typically results in long-lasting results, adjustments may need to be administered when the child reaches adulthood.
The position of the eyelid will be determined by how the tissue heals. After the post-operative visit, if the tissue is healing too low or too high, an adjustment can be made in the office to correct the position of the eyelid. When the tissue has completely healed, a second surgery may be required if the position of the eyelid needs to be adjusted.
After the surgery is performed, it is important to follow all post-operative instructions. This may include applying an antibiotic ointment and using a cold compress. Most individuals are able to return to work or school one week after the procedure. There may be minimal swelling for about two weeks after the surgery, but cold compresses will help reduce swelling and speed the healing process.
Most individuals will notice an improvement in their eyesight after the procedure because the eyelid will no longer block all or part of the pupil. There are some instances where the condition can cause an astigmatism. Individuals with an astigmatism may need a new prescription for their eyeglasses after the procedure.