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Blepharoplasty is generally a relatively safe surgery, but possible complications include hematoma/ecchymosis, lagophthalmos (incomplete or abnormal closure of the eyelids), ptosis (drooping of the upper eyelid), scarring, dry eyes, orbital hematoma/compartment syndrome, lymphedema, and ocular motility disorders. [13]
Ptosis caused by trauma can ensue after an eyelid laceration with transection of the upper eyelid elevators or disruption of the neural input. [4] Other causes of ptosis include eyelid neoplasms, neurofibromas or cicatrization after inflammation or surgery. Mild ptosis may occur with aging.
It is also possible for a patient to develop ptosis as a result of an initial eyelid surgery operation. Both require eyelid revision surgeries. Since ptosis patients need correction of delicate anatomical tissues and structures, eyelid revision surgery on ptosis patients is considered one of the more difficult surgical procedures to perform. [2 ...
Ptosis repair for droopy eyelid. Ectropion repair; Entropion repair [7] Canthal resection; A canthectomy is the surgical removal of tissue at the junction of the upper and lower eyelids. [8] Cantholysis is the surgical division of the canthus. [8] Canthopexy is the surgical fixation of the canthus. A canthoplasty is plastic surgery at the ...
The most common strabismus finding is large angle exotropia which can be treated by maximal bilateral eye surgery, but due to the progressive nature of the disease, strabismus may recur. [14] Those that have diplopia as a result of asymmetric ophthalmoplegia may be corrected with prisms or with surgery to create a better alignment of the eyes.
Blepharochalasis is an inflammation of the eyelid that is characterized by exacerbations and remissions of eyelid edema, which results in a stretching and subsequent atrophy of the eyelid tissue, leading to the formation of redundant folds over the lid margins.
Injections of botulinum toxin increase the risk of visual complaints and ptosis (eyelid droop). [46] Patients who do not respond well to medication or botulinum toxin injections are candidates for surgical therapy. The most effective surgical treatment has been protractor myectomy, the removal of muscles responsible for eyelid closure. [49]
Oftentimes, ALO only persists momentarily and the ptosis resolves upon manually lifting the eyelid. During attempted lid opening, there may be forceful frontalis muscle contraction, backward thrusting of the head, or opening of the mouth noted.
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