Ptosis refers to the drooping of the upper lid and may affect one or both eyes. Symptoms include the upper lid interfering with vision, difficulty keeping eyelids open, eyestrain and eyebrow strain. For some patients ptosis is an aesthetic concern.
The condition may be present at birth (congenital) or acquired later in life. Congenital ptosis is commonly caused by a defective levator muscle, whilst for patients who acquire it later in life causes include long-term contact lens wear, trauma, cataract or other eye surgery and, less commonly, nerve or muscle problems.
Surgery is generally performed under local anaesthetic as this optimises assessment of the lid positioning during the procedure.
Ptosis surgery usually involves shortening the muscles or tendons which raise the eyelid. Once shortened, the muscle or tendon is re-attached to the eyelid with sutures. The sutures will be removed approximately one week after surgery.
In some instances, tendon from the thigh, or an artificial material, will be connected to the brow in order to raise the lid. Brow lift surgery is usually performed on both eyes for cosmetic reasons.
Your eye will be covered with pads for approximately one day to help reduce swelling. If surgery has been performed on both eyes, or if vision in the eye which hasn’t been operated on is poor, then the padding may be removed within hours of surgery.
Drops and/or ointment may be prescribed for use at home and stitches will either be left to dissolve or removed around one week after surgery.
The use of contact lenses and eye make-up is to be avoided for approximately two weeks, or longer if the eye remains red.
Surgery to correct ptosis of the eyelid is generally a very safe operation. Nonetheless, all surgery and anaesthetic have some risk associated. Risks to all surgeries include infection, excessive bleeding, adverse reaction to anaesthetic or blood clotting.
If you experience problems, such as increased pain, bleeding or worsening vision following surgery please contact us.
|Cataract removal surgery|
|Correction of ectropion|
|Correction of entropion|
|Correction of ptosis of eye lid|
|Correction of squint|
|Drainage of conjunctival cyst|
|Excision lesion of the eye lid|
|Intravitreal injections for age related macula degeneration and diabetes|
|Ozurdex intravitreal implants for retinal vein occlusions|
|Tearing eyes surgery|