Ptosis correction

Ptosis = droop. Some children are born with eyelids that will not open fully and require corrective surgery early in life. In adult life droopy eyelids can the first manifest of a general muscle weakness (myaesthenia gravis) but the common cause of droopy upper lids is a gradual stretching of the eyelid opening muscle in late middle age and beyond. Look at the margin of the upper lid (as distinct from the fold of skin  above it).  It should lie halfway between the top of the pupil and the top of the iris.  If the lid margin is lower and beginning to encroach on the pupil itself – you may find yourself raising your eyebrows to get your lid to uncover the pupil properly – the problem is not loose skin but a stretched eyelid opening muscle.

The operation to correct this can be done under local anaesthetic and involves tightening the eyelid opening muscle – by just the right amount. This is done via an incision in the upper eyelid skin fold.

Swelling and bruising is inevitable and will be worst over the next two days. The stitches are removed at 4 to 5 days and by then the worst of the swelling has gone down. By then the new position of the upper lid margin will be apparent.

Risks:

  • It is hard to get the upper lid position absolutely perfect.  Sometimes an adjustment will be necessary – done within a few days of the primary operation.
  • See risks common to all operations.

Contact Details

Christchurch

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5 Naseby St

Merivale

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FaxF: 03 355 9249


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