Ptosis correction
There are many reasons for the levator muscle weakness.
After the internal medicine problems are ruled out, surgery can be conducted.
For children‘s obscured vision or astigmatism affecting eyesight, or adults‘ obscured vision, fatigue,
dull eyes and appearance considerations, surgery can help make the eyes look better.
The causes of
droopy upper eyelid
There are two common causes of droopy eyelids:
1. Eye opening muscle weakness
2. Too much loose skinbr
Before the operation, careful evaluation is a must. If it is difficult to lift the eye muscles, it is necessary to undergo the eye muscle surgery because only shortening skin is not helpful.
For elder patients, sagging skin appears more frequently, and a good preoperative evaluation of the function of the levator muscle can avoid asymmetrical eyes or droopy eyelids after the simple excessiveskin shortening surgery; if the skin is removed more, the patient's eyes can't open wide or close tightly.
Self-testing
If the lower part of the upper eyelid covers the black eyeball,
the eyebrow is very high with a lot of forehead wrinkles, it is probably
the levator muscle problem; if the eyebrow position is similar to that when the eyes
close, it is probably the loose skin problem.
Should you have any questions, please consult a professional ophthalmologist
Ptosis
The mechanism of opening the upper eyelid mainly relies on two muscles: the levator muscle and the Muller muscle. When they contract, they pull the tarsus plate and open the upper eyelid.
Ptosis can be divided into dominant and recessive types:
・Dominant:
When a normal eye looks forward, the upper eyelid will cover about 1-2mm of the black part of the eyeball; if the black part of the eyeball is covered more than2mm, it is called ptosis.
・Recessive:
When we want to open ptotic eyes , what can we do? We can raise the eyebrows, so the eyes can open more widely.
Raising the eyebrows will leave wrinkles on the forehead. In addition, when we try hard to open our eyes every day, the aponeurotic part of the levator muscle is stretched and elongated, and wrinkles will be formed on the upper lids with the eye sockets sunken. Sometimes the exposure range of the black eyeball is normal, but recessive patients would have the symptoms presented above.
Symptoms
In conclusion, the possible symptoms are as follows:
- 1. Ptotic eyes
- 2. Sunken eye sockets
- 3. Eyelids with multiple wrinkles
- 4.
Raising eyebrows at all times
- 5. Too many forehead wrinkles
These symptoms might be the complications of the eye opening muscle weakness. Even only the upper eyelid muscle is corrected in the surgery, the symptoms above can be improved at the same time.
Treatment of Levator Muscle Weakness
The surgical choices of the levator muscle weaknessFirst of all, it is necessary to evaluate the function of the levator muscle before surgery to select the appropriate surgical procedure.
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Seamless Levator
Muscle SurgeryThe surgical choices of the levator muscle weakness. First of all, it is necessary to evaluate the function of the levator muscle before surgery to select the appropriate surgical procedure.
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Small Incision
Levator Muscle SurgeryIt is suitable for moderate to severe levator muscle weakness. The wound size is between the suturing and cutting double eyelids, slightly adjusting the levator muscle functions.
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Outward Opening
Levator Muscle SurgeryIt is suitable for moderate to severe levator muscle weakness. The surgery is to shorten the levator muscle and greatly improve the position when opening eyelids. According to personal preferences, the surgery can design the different double eyelids of a suitable height with high symmetry.
If the function of the levator muscle is too bad, you need to shorten the excessive muscles; or if the eye closing muscle have been damaged before the surgery, it may lead to lagophthalmos from one week to one month after the surgery. Just use the artificial tears and tears ointment under a doctor’s guidance, and most patients can recover gradually after the surgery.
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