How Is Eyelid Ptosis Treated?
There are various surgical methods available for eyelid ptosis. The choice of surgery is based on the findings of the child's eyelid and eye examination. In some patients, a technique to repair or strengthen the muscle that lifts the eyelid is applied. When this is not possible, a technique known as frontal suspension is used to elevate the eyelid level and open the visual axis. With rapidly advancing technology and surgical sciences, new techniques and treatments are continuously being introduced. All these surgical procedures require general anesthesia in children.
What Are the Complications Associated with Surgery?
As with all surgical procedures, surgeries for eyelid ptosis may also have certain complications. For example, if the desired eyelid height is not achieved, resulting in inadequate or excessive correction, readjustment may be necessary. In some patients, although a proper eyelid level is achieved when awake, the eyelids may not fully close during sleep, which can lead to serious eye problems, including permanent damage to the cornea, the transparent layer at the front of the eye. Therefore, it is essential to carefully evaluate individual factors for each patient and follow an appropriate approach.
Who Treats Eyelid Ptosis?
The primary function of the eyelids is to protect the eyes and assist in optimal visual function. In the case of ptosis, a detailed assessment of the eye globe and visual function is required during both diagnosis and treatment. Therefore, it is essential for these patients to be evaluated by an ophthalmology and eye health specialist.
How Does Eyelid Ptosis Affect Visual Development?
Congenital eyelid ptosis can negatively affect a child's visual development, especially when the condition partially or completely covers the pupil. The inadequate opening of the eye reduces the light reaching the retina, leading to insufficient visual stimulation. This can result in amblyopia, commonly known as lazy eye, over time.
Given that the visual system develops in the early years, untreated structural impediments like this can lead to permanent visual impairment. Therefore, childhood eyelid ptosis should be considered not only as an aesthetic issue but also as a developmental concern.
Frequently Asked Questions
Does congenital eyelid ptosis resolve on its own?
No, congenital eyelid ptosis (congenital ptosis) does not resolve on its own. Since the condition usually results from structural underdevelopment of the muscle that lifts the lid, the muscle function does not improve over time. In mild cases, eyelid opening may increase slightly with growth, but severe cases require surgical intervention.
At what age should a child with eyelid ptosis have surgery?
Is eyelid ptosis surgery permanent?
Yes, eyelid surgery is permanent. Although the type of surgery performed may vary, the position of the eyelid generally provides long-term results. As the child grows, changes in the eye and eyelid structure may occur, necessitating further intervention in some cases at an older age. Additionally, if complications arise, a second ptosis treatment for correction may be appropriate.
Is eyelid ptosis treated with laser?
No, eyelid ptosis is not a condition treatable with laser. This issue is an anatomical problem related to muscle or nerve, and surgical methods are preferred in its treatment. While laser technology is used for treating different eye diseases, it does not apply to mechanical lid disorders like ptosis. Surgery typically involves repairing the eyelid-lifting muscle or using a sling procedure where it is anchored to the forehead muscle.