Free
consultations
Click Here
for automatic form
Surgery of fallen eyelids (Ptosis of upper eyelid)
The word PTOSIS is synonymous of fallen. Ptosis of the upper
eyelid means that the level of the upper eyelid is under the
normal parameters, and it interferes with the field of view.
Depending on the moment in the life in which it appears, the
conditions and the causes that produces it, there is a
classification.
Basically are two classes of Ptosis of upper eyelid:
1.-Congenital Ptosis: It occurs when the patient is
born with this pathology.
2.-Acquired Ptosis: It is when the Ptosis appears for
the first time in any stage of the life that is not the
birth.
The Congenital Ptosis can involve one both or upper eyelids,
and the cause is a dystrophy of the elevating muscle of the
eyelid.
|
 |
 |
|
Before |
After |
|
|
The Acquired Ptosis can involve one or both eyelids depending on
the cause.
Between its causes there are:
a.
Neurogenic:
When an alteration in the Common Ocular Motor Nerve exists, it is what
commands the elevating Muscle.
b.
Miogenic:
This one takes place by an alteration in the body of the Elevating Muscle,
like in the Mistemia Gravis.
c.
Aponeurotic:
It is when the Aponeurosis of the Elevating Muscle, is given off partialy or
totally or it stretches or it is weaked. This one is observed very
frequently and mainly in adult patients, in one or both eyelids. It is
related to the aging or traumas. One says that the use of bifocal lens and
contact lenses could be another probable cause of Aponeurotic Ptosis.
d.
Mechanical:
a tumor in superior eyelid or the excess of eyelid skin can force the level
of the eyelid to be under the normal position. In this case the extirpation
of aesthetic tumor or one blefaroplasty would help to make it disappear.
Depending on the cause, it will be the treatment to take place.
Fig 1. - This is a patient with Acquired Ptosis of superior eyelid straight
of Aponeurotic origin, that goes to the consultation for its correction.
Observe the lowest level of the right eyelid in the glance.
Fig 2, - the ptosis is continued observing in the upwards glance
Fig 3. - The ptosis is corrected with a surgical plicatura of the
Aponeurosis of the sight elevator.
Fig 4. - Surgical correction with sight upwards.
Free
consultations
Click Here for automatic form
