What are the causes of Ptosis?
Generally, ptosis occurs as a birth defect.
- After an accidental eye trauma
- Due to excessive traumatic eyelid rub
- Due to some medicines used
- Due to aging, the relaxation and weakening of the muscles that open the eyelid
- Due to some head trauma, ptosis can occur if there is a neurological deficit in the nervous system
It is called “fake ptosis” if it is due to small eye structure or the excess of the eyelid.
Treatments of Ptosis
Congenital or later-occurring ptosis is considered as a neurological if there is no movement in the eyelid.
Neurological ptosis; is caused by the immobility of the muscle that opens the eyelid, that is, the levator muscle. In this case there is no movement in the eye lid.
Instead of intervening in the muscle that opens the eyelid, a method of helping that muscle must be applied. In this method, auxiliary muscles are used to hold the eyelid upward. For example, an attempt is made to open the eyelid by using a piece of muscle or using a fiber (with the help of silicone threads or fiber from the patient’s body).
The other method is applied for extended eyelid muscles depending on congenital, trauma or age. If the muscle is working a little and if there is a slight movement, the problem can be solved by shortening the muscle length. Thus, the shortened muscular strength will be enough to open the eyelid.
Another method is applied for trauma-induced ptosis. Sometimes simple traumas (scratching eyes, rubbing eyes, etc.) can even cause ptosis. In this method, if the muscle is healthy and if there is no problem with the nerves, and if the muscle or nerves were only separated from their original places, the muscle will be placed to its anatomical position in the surgery.
Ptosis surgeries can be done with local anesthesia at appropriate ages.
After Ptosis Surgery
If the amount of intervention in the operation is large, the eyelid may remain open for a short period of time.
Since the eyes will be open a little bit in the first days after surgery, dryness preventive eye drops are suggested.
The patient may be discharged on the same day, or after 1 day if the operation is performed under general anesthesia
Eye closure is not necessary after ptosis surgery.
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