Oculoplastic Surgery is a sub-specialty within ophthalmology that treats both functional and aesthetic disorders and diseases related to the eyelids, eyebrows, tear ducts, orbit and conjunctiva.
The eyelids are a very delicate area and it is important that it is an ophthalmologist surgeon specialized in this type of surgery in charge of any intervention, since they apply a not only aesthetic concept of the eye-eyelid tandem, but also provide deep knowledge of their structures and the vision of its functionality in relation to the vision.
Blepharoplasty Eyelid surgery
Blepharoplasty an aesthetic intervention that seeks to rejuvenate the eyelids by remodeling the periocular tissues. In many patients the reason for surgery is due to the passage of time, but in others it is a consequence of some inherited disease or pattern, such as the early presence of “bags” on the eyelids.
His presence gives us a "tired" look and we seem older. We normally have two fat bags on the upper eyelids and three on the lower ones, which when they acquire a considerable size can even compromise the patient's vision.
The surgery aims to reposition or reduce the hypertrophied fatty component and strengthen the tissues of containment of the same, eliminating excess skin if there is one. The patient should rest during the days following the intervention, applying cold locally and antibiotic ointment.
Ptosis. Droopy eyelids
In ophthalmology we talk about ptosis when there is a fall of one or both eyelids, usually due to an alteration of the muscle that elevates the eyelid. This fall can alter normality at the aesthetic level, creating an alteration of facial harmony, especially if it is only one eye, or alter functional normality by temporarily or permanently covering the visual axis making vision difficult.
The management of palpebral ptosis should include a correct neurophysiological study that rules out diseases such as myasthenia or oculopharyngeal dystrophy, the latter being accompanied by difficulties in swallowing by patients. In the case of children, it is necessary to act early if it makes vision difficult to avoid the well-known “lazy eye”.
The surgical technique will depend on the state of the eyelid muscle. If it is detached it will be reinserted, if it is distended it will be shortened, but if it is paralyzed we will have to place some silicone probes or similar so that it is the forehead that elevates the eyelid when contracting. Recovery is usually short requiring local cold and antibiotic ointment. The stitches are removed around fifteen days.
What is the Entropion?
The lower eyelid turns from the outside in, causing the eyelashes to abrasive the cornea and conjunctiva, which causes pain, redness and ocular exudation.
What is your treatment?
Surgical repair provides the only permanent cure for this disorder and is performed with local anesthesia. Detecting the cause that causes the entropion is key to define the surgical procedure to perform for its correction. It cannot be prevented but it can be detected in time and corrected.
It is recommended that the patient remain at home on the day of the intervention. The visual improvement is usually so rapid that the next day you can begin to gradually return to your normal life. However, you should follow some recommendations such as using eye drops, do not rub your eyes and avoid physical efforts such as taking heavy things for a few days after the intervention.
It is the opposite disorder to Entropion: the lower eyelid turns from the inside out, leaving the tarsal conjunctiva exposed. This causes redness of the exposed conjunctiva and watery secretion because the inferior tear orifice is no longer in contact with the eye. Most of these cases (like those of Entropion) occur in the elderly, but may occur as a result of the formation of scars on the skin of the eyelid, chemical or thermal burns, chronic eczema or facial nerve paralysis. It cannot be prevented but it can be detected in time and corrected. An oculoplastic exam is essential to diagnose pathology.
What is your treatment? Its treatment, like Entropion, is surgical, repairing the lower eyelid, under local anesthesia.
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