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Eyelid Surgery
Using Laser |
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Many
people have droopy eyelids (called ptosis) which
become more pronounced in old age. Some people
can compensate for ptosis by raising their forehead
muscles. It can make them tired and also they
may also lose peripheral vision in the upper field
of gaze. In children, if droopy eyelid is blocking
the vision, it may result in amblyopia.
Excess eyelid skin, droopy eyelids or eyelids
that turn inward or outward are common problems.
They can cause eye discomfort, and even limit
vision. Fortunately, such eyelid conditions are
correctable by surgery.
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Ptosis:
Upper Eyelid Drooping |
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Ptosis is apparent
at birth (congenital) or develops with age (involutional).
A child with congenital ptosis may tilt his or
her head backward in order to see, so it does
not always lead to poor vision. Surgery to correct
ptosis is commonly recommended in the preschool
years to make it easier for children to see and
to improve appearance. The type of surgery varies,
depending upon how much the eyelids droop.
Involutional ptosis develops
with aging. It may worsen after other types of
eye surgery or eyelid swelling. Ptosis may limit
your side vision. If it occurs in one eye, it
may create an uneven appearance. Surgical correction
of the eyelid often leads to better vision and
improved appearance.
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Excess
Eyelid Skin |
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time, many people develop excess eyelid
skin. Eyelid skin is the thinnest skin of
the body, so it tends to stretch. In the
upper eyelid, this stretched skin may limit
your side vision. The same problem causes
“bags” to form in the lower
eyelids.
The excess skin in the upper eyelids can
be removed surgically by a procedure called
a blepharoplasty to improve side vision
and other symptoms. Removal of the excess
skin in either the upper or lower eyelids
may improve appearance. If excess fatty
tissue is present, it may be removed at
the same time.
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Ectropion:
Outward Turning of the Lower Eyelid |
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Stretching
of the lower eyelid with age may cause the eyelid
to droop downward and turn outward. Eyelid burns
or skin disease may also cause this problem. Ectropion
can cause dryness of the eyes, excessive tearing,
redness and sensitivity to light and wind. Surgery
may restore the normal position of the eyelid,
improving these symptoms.
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Entropion:
Inward Turning of the Lower Eyelid |
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Entropion
also occurs most commonly as a result of aging.
Infection
and scarring inside the eyelid are other causes
of entropion. When the eyelid turns inward, the
eyelashes and skin rub against the eye, making
it red, irritated and sensitive to light and wind.
If entropion is not treated, an infection may
develop on the clear surface of the eye called
the cornea. With surgery, the eyelid can be turned
outward to its normal position, protecting the
eye and improving these symptoms.
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Eyelid
Plastic Surgery Using Laser |
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Eyelid
plastic surgery is almost always performed on
an outpatient basis under local anesthesia. First,
eyelid measurements are taken and if needed, a
visual field
test is performed. External photographs
will also be obtained. If you are a good candidate,
a laser will be used to perform the surgery.
This surgery is generally safe. However, as with
any surgery, there are some risks:
- The ophthalmic surgeon will attempt to make
both eyes look similar, but differences in healing
between the eyes may cause some unevenness in
appearance following surgery.
- A black eye is common, but will go away quickly.
- The eye may feel dry after surgery because
it may be more difficult to close your eyes
completely. This irritation generally disappears
as the eyelids heal.
- Serious complications are rare. The risk
of losing vision is estimated to be less than
one in 5,000 surgeries. Infections
and excessive scarring occur infrequently.
The improvement in vision,
comfort, and appearance can be very gratifying.
If you have any concerns about your droopy eyelids,
schedule a free consultation with NeoVision Eye
Center at
510-431-5511 (Union
City) or 650-962-4626 (Mountain
View).
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