The naive drooping eye style suddenly popular from abroad has been named "Dog Eye", which is now deeply rooted in the hearts of the people. Different from the eye picking style in nostalgia, "Dog Eye" tends to droop, adding a little pity and cute to you. So girls also like this style, but drooping eyelids are not cute in real life. Because it will significantly interfere with people's appearance, it will naturally be more serious or interfere with the line of sight. After identifying this problem, it is usually recommended to carry out a preliminary examination in the local large hospital to verify the severity of the problem. At this time, some doctors will tell you that this operation can reduce the risk and let you consider it carefully. Generally, the risk of slight ptosis is not high, and double eyelid surgery enhances the lifting process. After correction, eyelids may not be closed completely. Many patients are very confused about this and worry that it will affect the quality of sleep. In fact, it is normal to have such concerns, because people are afraid of others with open eyes or keratitis.
What is ptosis?
The ptosis will not disappear independently. This is a more common ophthalmic disease. Because the function of the upper eyelid muscle is weakened or disappeared, the patient usually looks at the eyelid. The upper eyelid will partially or completely block the eyes and block the line of sight. Generally, it needs to rely on the forehead muscle contraction or expand the line of sight with the help of the head backward and the eyes. For a long time, it will interfere with the vision of the eyes and also interfere with the appearance, so it must be corrected as soon as possible. Generally, ptosis can be divided into three levels: light, medium and heavy.
Congenital ptosis
You can understand that it is born. At the same time, children's eyes open late, or one opens early, one opens late, and the other opens larger. They found that one eyelid was large and the other was small. Most of them are caused by delayed development of upper eyelid muscles, or abnormal development of nervous system, and incomplete function; A few patients are caused by the tightness of the outer and inner corners of the upper eyelid muscle and the upper horizontal ligament, or too much brazing is attached to the posterior wall of the orbital septum, which limits the activity of the upper eyelid muscle.
Acquired ptosis
Due to the numbness of oculomotor nerve or muscle weakness, there is a lack of transmission media between the nerve and muscle tissue interface, resulting in muscle tissue impotence and inability to lift the eyelid.
Basically, everyone will encounter problems at the corresponding age, because when it comes to the feasibility change of eyelid muscles, the aponeurosis is overstretched and loses elasticity. It means that the upper eyelids droop to cover some eyes, and the eyelids become smaller, resulting in inner eyes or drooping eyes. On the appearance of ptosis, the muscle effect of upper eyelid is normal through objective inspection, and the real part of upper eyelid is normal, which is mostly seen in ptosis of upper eyelid skin, and the upper eyelid lacks support.
Shortening of upper eyelid muscle
This method is often called total eyelid surgery. It is applicable to bilateral or unilateral mild or moderate congenital ptosis, and the levator palpebrae muscle still has some effect (the tension of levator palpebrae muscle is 5 mm or more). The aponeurotic ptosis caused by the acquired day can also be ptosis, that is, ptosis caused by aging. This method is to remove unnecessary drooping skin with the original double eye skin line. The working principle is to select and reduce the levator muscle of the upper eyelid to achieve the purpose of levator muscle of the upper eyelid. It is mainly used for mild ptosis, dynamically increasing the height of the upper eyelid, and improving the aging state at one time.
Frontal muscle lifting and hanging
It is mainly used for frontalis muscle with good effect, congenital or posterior blepharoptosis, and for prominent blepharoptosis, it is faster, and other surgical methods can also be used to correct cases of blepharoptosis. This method is to select the fascia lata of your thigh to connect with the forehead muscle and the upper eyelid, use the forehead muscle collection to improve the ability of the upper eyelid muscle, and then bring fruit with eyes wide open.
Subeyebrow excision
This method is also called eyebrow ptosis correction of ptosis. It can reasonably improve the specific situation of ptosis, make the size of the eyelids more prominent, and the eyes become more compact and halo. But it can also significantly reduce the distance between eyebrows and eyes, and raise the double eyelids, so that the eyes become more halo and younger. Cut the edge of the lower part of the eyebrow, peel off the extraocular muscles to the eye edge, remove part of the drooping skin and prominent orbital septum lipids, and then perform surgical suture. Undereyebrow incision can reveal the double fold marks of eyelid compression again, but the improvement is not as strong as full incision. Suitable for people who want to preserve their original form.
Time for treatment of ptosis
Congenital ptosis is usually mainly treated by surgery, and the selection of operation time requires experts to make an overall judgment based on the level of ptosis and eye vision.
If it is mild, it will not interfere with the development of routine vision. It can be observed on time and will not be operated for the time being. The operation time can be from 5 to 6 years old. If the infant's psychological growth and development are disturbed by poor appearance, it is recommended that the operation be carried out as soon as possible.
Moderate to severe cases easily lead to pseudomyopia in infants. Surgical correction is recommended at the age of 3. The age of 3 is not only an important developmental period for infants' visual and psychological status, but also an ideal period for moderate to severe ptosis surgery.
In addition, for many infants with congenital ptosis or prominent eye vision problems, it is recommended that surgery be carried out as soon as possible, usually at the age of one year, ptosis correction should be carried out, and targeted visual training should be carried out according to the specific situation.
