Journey Of A Droopy Eyelid: Ptosis Surgery Patient In Singapore
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journey of a droopy eyelid surgery patient

Journey Of A Droopy Eyelid: Ptosis Surgery Patient In Singapore

What Are Droopy Eyelids?

Droopy eyelids, which are medically known as Ptosis surgery, are when your upper eyelid appears to droop over the eye. The degree of drooping may vary from person to person and even by age. While it may be a mild case in some, others might have their eyeball be partially covered by their upper eyelids and require a Droopy Eyelid Surgery to restore their vision.

Even though droopy eyelids are usually not painful, they can cause distress to the person. This can either be due to aesthetic purposes where individuals may not like how they look, or it can be due to functional reasons if the eyelids are affecting their vision.

Hence, if you are someone who needs to tip your head all the way backward to see the things around you, you might require Droopy Eyelid Surgery.

What Causes Droopy Eyes?

hw=ow does droopy eyelids look likeDroopy eyes can be caused by several reasons and may vary in their presentation from person to person. These include:

  1. Congenital: Some babies may be born with slightly lower positioning of their eyelids. This condition is known as Congenital Ptosis. (1)
  2. Nerve Damage: Droopy eyes can be caused by damage to the nerve supplying the muscles of the eyes. This can either be caused by an injury or a disease.
  3. Aging: Droopy eyes may also be caused by aging due to the gradual relaxation and weakening of the muscles around the eyes.

What Are The Tests Available For Droopy Eyelids?

Basic Visual Assessment by Plastic Surgeon

When you go for the evaluation of your droopy eyelids, the plastic surgeon will first observe your eyelids and the extent of the drooping. Your doctor may also carry out some measurements to determine if you require droopy eye surgery. These include the distance between the center of the eyes to the edge of the upper eyelid – which is known as the marginal reflex distance in medical terms. Moreover, they also evaluate the strength of the muscles around the eyes and observe it from an aesthetic perspective.

Other Tests

eye test for droopy eyelidsPupillary Observation

The diagnosis of droopy eyelids may also require an analysis by the eye doctor who will check for the patient’s pupillary reaction. This is especially important because a person who is suffering from droopy eyelids and an abnormal pupillary response might indicate nerve damage.

Visual Field Test

A Visual Field Test, which is also known as Humphrey Test, may be conducted by the doctor to analyze the level of vision inhibition caused by the drooping of eyelids.

Tensilon Test

Tensilon tests of the eyelids are conducted to analyze the weakness of muscles around the eyes and if they cause the drooping eyelids.

What Happens After The Diagnosis Of Droopy Eyelids?

After the diagnosis of Ptosis, the doctor might present several options for the treatment of the condition. This treatment option may range from person to person based on their age, medical history, and the cause of the droopy eyelids.

Recommended Surgery Techniques

The droopy eyelids surgery is conducted to correct the position of the upper eyelid and its associated muscles. The surgical techniques for droopy eye surgery include:

Non-incisional Droopy Eyelid Surgery

ptosis correction suture method

The most common surgical method to correct droopy eyelids is the Levator Advancement using sutures, which is also known as Non-incisional Droopy Eyelid Surgery. This surgery is usually performed on individuals with strong levator muscle functions and results in an overall elevation of the eyelids. The levator muscles are tightened with a suture without the need for big incisions.

Incisional Droopy Eyelid Surgery

ptosis surgery

The most common surgical method to correct droopy eyelids is the Levator Advancement using sutures, which is also known as Non-incisional Droopy Eyelid Surgery. This surgery is usually performed on individuals with strong levator muscle functions and results in an overall elevation of the eyelids. The levator muscles are tightened with a suture without the need for big incisions.

Frontalis Sling Fixation

While internal and external approaches for Ptosis surgery are performed on those with string muscle function, Frontalis Sling Fixation is the procedure opted for patients with poor muscle function.

Medical Insurance For Droopy Eyelids Surgery

Droopy Eyelid Surgery that is conducted to correct vision issues or for if someone’s ability to conduct their everyday activities by blocked vision may be considered a medical case and treatment fees may be covered under medical insurance.

The Required Arrangements For Droopy Eyelids Surgery

Before Droopy Eyelid Surgery, the surgeon carefully analyses the patient’s facial and unique eyelid characteristics before proposing the surgery technique. The plastic surgeon may order an eye test if it is necessary for the diagnosis.

The patient should also make arrangements on their end, which include appointing someone to drive them home after the surgery. The patient may also require a caretaker to look after them for at least 24 hours after the surgery.

How Can You Prepare For Your Droopy Eyelid Surgery?

The preparation one might need to make a few days before their Droopy Eyelid Surgery includes:

  1. The use of drugs like aspirin, ibuprofen, and other NSAIDs should be avoided.
  2. Cigarette smoking should be discontinued at least two weeks before the surgery.
  3. Drinking or eating anything the night before the surgery should be avoided.

What Happens After The Droopy Eyelids Surgery?

In general, individuals are encouraged to take 7 to 10 days off work and social activities for recovery. As each individual’s recovery process varies, it is expected to observe some variations in recovery speed. Nonetheless, there are a few things one should keep in mind for a smoother recovery.

Medication: The patient may be recommended to apply cold compression and a topical antibiotic for at least 4 to 5 days after surgery.  One should take the medication and antibiotics as recommended.

Would Dressing: Basic dressing and application of topical ointment are necessary.

Daily Showers: Showers are permitted after surgery. It is recommended to gently pat dry if the eye area comes into contact with water.

Sleeping Posture: Slight changes to sleeping positions such as keeping the head raised above the heart is recommended to help bring down swelling. Patients can resume daily showers a day after the procedure.

Daily Walks: Daily strolls in a park or at home can help improve blood circulation and bring down swelling faster as compared to staying in bed.

Possible Complication associated with Droopy Eyelids Surgery

The most common complication associated with Droopy Eyelid Surgery is an asymmetry in the eyelid’s height and shape due to uneven swelling. (2) However, some patients also experience varying degrees of pain, bleeding, and eye discomfort for a few days which can be managed with medication and will subside a few days later. If one experiences any other symptoms, they should contact their plastic surgeon immediately.

Follow-ups after a Droopy Eyelids Surgery?

  • after droopy eyelid surgery1-week Follow-up: The patient is called for a follow-up review one week after the surgery to assess their rate of recovery and the extent of swelling. Stitch removal may also be done if an incisional procedure was performed.
  • 2 weeks Follow-up: The 2 week follow up is aimed at evaluating the residual swelling and whether the recovery of the patient is on track.ss
  • 3 months to 6 months Follow-up: The 3- and 6-month follow-up after the surgery is aimed at observing the final results of the procedure and evaluating the satisfaction level of the patient.

Considering Ptosis Surgery For Droopy Eyelids?

Droopy Eyelid Surgery is an effective and long-term solution to get rid of droopy eyelids. Even though it is frequently performed, it can be quite challenging and should only be performed by an experienced physician.

 

References:
1.Marenco M, Macchi I, Macchi I, Galassi E, Massaro-Giordano M, Lambiase A. Clinical presentation and management of congenital ptosis. Clin Ophthalmol. 2017;11:453-463. Published 2017 Feb 27. doi:10.2147/OPTH.S111118
2.Kwitko GM, Patel BC. Blepharoplasty Ptosis Surgery. 2020 Sep 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 29493921.