An ophthalmic procedure that surgically corrects upper or lower eyelid sagging, inward or outward turning, or drooping that affects lid function.
Indication
- Closure of the upper portion of the visual field due to upper-lid sagging (dermatochalasis)
- Upper-lid drooping (ptosis) at a level that affects the pupillary axis
- Inward turning of the lower lid (entropion) causing lashes to rub against the cornea
- Outward turning of the lower lid (ectropion) with persistent tearing and irritation
- Lid closure insufficiency (lagophthalmos) and dry-eye symptoms
- Post-traumatic deformities causing lid malposition
Preparation
- Complete eye examination, visual field testing, and lid function measurements
- If you use blood thinners, adjust them appropriately under physician guidance before surgery
- No food or drink for 6-8 hours before the procedure (when sedation is planned)
- No active infection, eczema, or inflammation in the facial area
- Pre-operative photographic documentation
How it's performed
- The patient is positioned on their back, and the area around the eye is sterilely cleaned
- Local anesthesia is generally used; mild sedation may be added if needed
- A fine incision is made along the planned line on the eyelid skin
- Excess skin, muscle, and fat tissue when needed are removed; if ptosis is present, the lid-elevating muscle is shortened
- In entropion/ectropion repair, the lid margin is brought into appropriate tension and position
- The skin is closed with fine sutures, and cold compresses are recommended
Post-procedure
- The procedure is planned as same-day discharge
- Cold compresses and head elevation for the first 48 hours
- Wound care with antibiotic drops or ointment
- Skin sutures are removed within 5-7 days
- Complete resolution of swelling and bruising may take 2-4 weeks
Risks
- Swelling, bruising, and temporary double vision
- Lid closure deficiency and dry-eye complaints
- Scarring, asymmetry, or insufficient/excessive correction
- Infection (rare)
- Very rare retrobulbar hemorrhage that may impair vision
FAQ
Is this surgery for cosmetic purposes?
The eyelid surgeries described here address functional issues such as visual-field-blocking sagging, lid drooping, or inward/outward turning. They are planned differently from cosmetically motivated procedures and require a separate consultation.
Will I feel pain during surgery?
The procedure is usually performed under local anesthesia. You may feel a brief sting from the injection; afterward the area becomes numb and no pain is expected during surgery.
When can I return to daily life?
It varies by individual, but office-type work is usually resumed within 5-10 days. For heavy exercise and pool/sea activity, waiting at least 3-4 weeks is recommended.
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