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| More about Ptosis surgery |
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 Type
of surgery |
| If both eyes are affected by Ptosis, cosmetic
and functional eyelid surgery is usually carried out on both sides at
the same time. Surgery usually involves shortening and strengthening
the levator muscle which opens the eyelid. Occasionally, the lid is
raised by suspending it from the brow muscle. The tissue used for
this may be man-made or harvested from the leg through a small cut
above the knee. |
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| Stopping
aspirin and warfarin before surgery |
| You should not take any medicines containing aspirin
for 2 weeks before the surgery. If you are on anti-coagulants (Warfarin)
to ‘thin the blood’ you need to discuss with your GP or
the anti-coagulant clinic regarding the safety of stopping the medication. |
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| Are there
any complications? |
| This could be due to: |
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Undercorrection - The lid remains
low. Often the lid may rise in the weeks following surgery before
the final position is reached. |
| • |
Overcorrection - The lid is
too high. This may resolve spontaneously and it may be possible
to pull the eyelid down by pulling on the eyelashes. |
| • |
Contour Mismatch - The shape
or contour may not match the other eye. |
| • |
Inability to close the eye completely/
dry eye - This occurs commonly in large Ptosis corrections.
Often day time lubricant drops and night time eye ointment is
required to keep the eye comfortable. |
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Failure of the lid to look down
- There is a failure of the lid to follow the eye normally when
looking down, usually in congenital cases. |
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Before:
This boy has bilateral severe congenital ptosis obstructing
his vision. He was born with very weak levator muscles in his
eyelids |
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After:
After bilateral ptosis surgery where the eyelid was suspended
from the brow muscle with connective tissue harvested from the
leg (frontalis suspension with autogenous fascia lata), a good
eyelid height and symmetry is achieved |
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Credentials
