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Are You Sure You Need Eyelid Surgery? Part 2

Yesterday’s blog post discussed eyelid surgery and the medical condition called ptosis (a/k/a droopy eyelid).  The medical definition for ptosis is the presentation of the upper eyelid in the primary, relaxed position that is abnormally low. Ptosis can be caused by genetics or it can be acquired neurogenically, myogenically, through trauma to the eye, and in several other ways.  Ptosis may present in one of both of the patient’s eyes.  Physicians like plastic surgeons and eye surgeons rate a patient’s ptosis by one of three categories:  good, moderate or poor by making very detailed measurements of where the eyelid sits.  Some patients with more severe cases of ptosis seek blepharoplasty (eyelid surgery) to reduce the droopy upper eyelid appearance.  The levator in the eye is one of the mechanisms responsible for raising and lowering the eyelid.  For patients with congenital ptosis, one surgical approach is to shorten the levator until the eyelid is at the desired level.  However, there are special considerations for patients who acquired ptosis due to the multiple potential causes.  Future posts from Dr. Eisemann’s office will address these more intricate cases and what can be done to help the patient.

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