Ptosis Surgery: Overview and Purpose

  • Commonly referred to as "Droopy Eyelid Repair".
  • Aims to correct droopy eyelids and restore anatomical balance.
  • Addresses causes such as hereditary muscle development issues or age-related
    muscle and tendon stretching.
  • Untreated ptosis can lead to vision problems, amblyopia in children, headaches,
    and cosmetic concerns.

Procedure Details

  • Typically involves tightening the tendon or muscle that lifts the eyelid.
  • Alternatives include using fascia lata from the thigh or a silicone band.
  • Incisions are often hidden within the eyelid or skin fold to minimize scarring.
  • Procedure duration ranges from 30 to 90 minutes.
  • Recovery is generally quick, typically within 14 days.
  • - Adults usually undergo the procedure with local anaesthesia, while children receive
    general anaesthesia.

Non-Surgical Alternatives

  • Ptosis props, crutch spectacles, or scleral contact lenses can be used for specific
    cases.
  • Mild ptosis may be managed with prescription eye drops (e.g., Upneeq) or
    neurotoxin injections.

Risks and Complications

  • Infection: Rare, treatable with antibiotics.
  • Scarring: Generally minimal, can be improved with silicone scar gel.
  • Large bruise or hematoma: Minimized with ice packs, avoiding heavy exercise, and
    managing anticoagulant use.
  • Vision risk: Extremely rare.
  • Asymmetry: Rare, may require revision surgery.
  • Blood-stained tears: Managed with gentle pressure.
  • Ptosis recurrence: May require re-operation.
  • Contralateral ptosis: Can self-correct or require correction.
  • Exposed stitches: May need removal to avoid complications like corneal ulcers.