How to do with droopy upper eyelids?
If the upper eyelid is loose and droopy, it can cover local pupils; if it is serious, all pupils will be covered, which will not only hinder the beauty, but also affect the vision. In order to overcome the visual impairment, patients often have to tighten their frontalis muscles, frown and shrug their eyebrows to improve the position of the upper eyelid. In serious cases, they must raise their heads or even touch the upper eyelid with their fingers to see things.
Acquired blepharochalasis and ptosis: there are many related medical histories or other symptoms, such as paralytic blepharochalasis and ptosis caused by oculomotor nerve paralysis; Sympathetic ptosis is caused by muscle dysfunction or cervical sympathetic nerve damage. Myogenic blepharochalasis and ptosis in pseudoblepharochalasis and ptosis are more common in myasthenia gravis, and can also be caused by trachoma tarsal thickening or tarsal tumor. Pseudoblepharochalasis and ptosis are mostly caused by aging.
In natural head up vision, the upper eyelid margin covers the upper edge of the cornea for more than 2 mm. Eye opening is often accompanied by eyebrow raising and forehead wrinkling. Clinical objects often look up; There is a corresponding cause of ptosis of the upper eyelid: pseudoptosis of the upper eyelid, myasthenia gravis often droops due to fatigue, manifested as light in the morning and aggravated in the afternoon, and may be accompanied by other extraocular muscle weakness or fatigue of the whole body striated muscle.
The frontal muscle flap made of the frontal muscle is moved upward and fixed with the upper eyelid plate, and the upper eyelid is lifted directly with the strength of the frontal muscle to correct the ptosis of the upper eyelid. This method is suitable for congenital or pseudo ptosis.
The frontal muscle lifting and hanging operation is suitable for those with acquired or pseudo upper eyelid droop. This method mainly uses various materials or tissues to connect the tarsal plate with the frontal muscle, and indirectly uses the strength of the frontal muscle to correct the droop of the upper eyelid. Levator muscle shortening is only suitable for patients with mild and moderate loss of upper eyelid muscle function. Generally, it is suitable for patients with pseudoptosis of upper eyelid.
