What Causes Drooping Eyelids (Ptosis)?

It can certainly be frustrating to have eyelids that droop, and you should realize at the onset of this problem that it has nothing to do with fatigue. Rather, eyelid drooping is a medical condition known as “ptosis.” In the most extreme instances, the eyelids will entirely block a person’s sight. Fortunately, surgery can be an effective way of addressing ptosis. By the way, you should note that local Houston eyelid surgery is among the finest in the world.

Generally speaking, there is no way to prevent ptosis and some people are born with drooping eyelids. In most instances, when ptosis is congenital, it affects one eye only, and it is usually due to a developmental issue with the levator palpebrae superioris, which is the muscle that raises the eyelid. A surgeon will treat an infant’s drooping eyelids if they are obstructing his or her vision so as to avoid long-term, irreversible loss of sight. By contrast, a child who has a mild case of ptosis at birth ― a case in which the vision is not severely affected ― they probably will not undergo a corrective operation until he or she is between the ages of 3 and 5.

Simply growing older can lead to ptosis. Over time, the tendon that is connected to the levator palpebrae superioris can stretch so far that it is no longer fully effectual. When aging causes ptosis, one eyelid tends to hang lower than the other. Also, when eyelid drooping is related to age, it tends to worsen gradually as the years pass.

On the other hand, ptosis could indicate a serious disorder. An eye tumor, infection, or injury could be responsible. Diabetes and myasthenia gravis ― the latter is a disease of the nervous and muscular systems ― can bring about eyelid dangling as well.

When your eyelids droop, you might try to lift them by continually raising your eyebrows, a practice that can lead to headaches. Excluding that situation, it is possible that you could have ptosis for a long time without having to endure any great difficulties. However, given that drooping eyelids can indicate serious health troubles, the wisest course of action is to seek medical attention.

In particular, you should see a doctor as soon as you can if your eyelids have begun sagging all of a sudden. You should also schedule a doctor’s appointment if your drooping eyelids are accompanied by symptoms like eye pain, double vision, a fever, slurred speech, or muscle weaknesses. Moreover, children with drooping eyelids always need to see their pediatrician.

When you visit your doctor because of ptosis, they will measure your eyelids as well as the exposed areas of your eyes. It is also probable that your physician will review your medical records and give you a comprehensive examination in order to determine the source of your ptosis. The exam should include a neurological component. Afterwards, your doctor might even order other diagnostic services such as a magnetic resonance imaging (MRI) test.

If a disease of the eyes, muscles, and/or nervous system is causing your ptosis, your doctor will decide upon a course of treatment. If, however, your doctor determines that you are not suffering from a disease, your next action will probably be to visit a Houston oculoplastic surgeon or a Houston orbital reconstructive surgeon. This type of specialist will be able to raise one or both of your eyelids. It is a relatively simple surgery. You will probably receive the procedure on an outpatient basis, and your surgeon is more likely to administer local anesthesia than general anesthesia. The best news is that this kind of operation is almost always successful for correcting drooping eyelids.

Posted in Drooping Eyelids | Tagged , , | Comments Off

What You Should Know About Eyelid Surgery

Blepharoplasty is a cosmetic surgery that involves reconstructing the upper or lower eyelids. This procedure is typically done to address conditions such as excess skin, drooping, or cosmetic damage that has occurred to a person’s face. Under normal circumstances, the surgery can be done on an outpatient basis and typically can be completed in a few hours. Most people experience few post-operative side effects and can resume their normal routines within weeks of undergoing this surgery.

People whose eyesight is affected by loose skin over their eyes, those who suffer from significant puffiness or bags under their eyes, or patients who have excessive fat and tissue around their lower lids make them prime candidates in Houston for eyelid surgery. The orbital reconstruction surgeon can remove excessive skin, fat, and muscle from the lids and reconstruct the lids to help people see better and feel more confident about their appearance. The Oculoplastic surgeon will begin the operation by using numbing drops in the patient’s eyes and by administering sedatives through an IV to help keep the patient calm.

After the sedatives and numbing medications are given, the Oculoplastic surgeon will then make incisions along the natural creases of the person’s eyelids. If both lids are being worked on during the procedure, the surgeon typically will begin working on the upper lid first. Cutting along the natural creases will ensure that post-operative scarring remains minimal and that the incision will heal faster.

Once the incisions are made, the orbital reconstructive surgeon will then remove the excess skin, as well as remove or relocate smaller amounts of fat and tissue in the eyelid. If necessary, areas around the bridge of the person’s nose and upper cheeks will also be worked on to help the patient’s appearance look natural and uniform. After the tissue, skin, and fat are removed, the surgeon will then close the incisions with tiny stitches that should dissolve on their own within a matter of weeks. Some doctors also use surgical tape to close the wound.

Immediately following the eyelid surgery, the patient can expect to remain in a recovery room within the Houston eyelid surgery facility. The nurses on staff will observe the patient to ensure that he or she is recuperating well and avoiding any serious complications from the operation. Within a few hours after the procedure, the patient can then expect to be discharged and allowed to go home to rest and recover.

Patients can heal better and facilitate in their own recoveries by knowing what to expect within the first few days and weeks following their operations. While their pain should be minimal, they can take over-the-counter pain relievers like Tylenol to help keep any discomfort at bay. They should also remember to avoid taking medications that have aspirin in them, as these medicines act as blood thinners and could delay the clotting that is needed for them to heal. Likewise, patients should be aware that they could develop bruising and swelling after a day or two following the operation. This side effect should dissipate soon and should not be cause for alarm. As they heal, they should avoid activities that could cause them to strain or develop infections, such as heavy lifting or swimming.

Patients may experience double or blurred vision because of the incisions in their eyelids. This side effect too should pass quickly; however, if they cannot see normally within a few days’ time, they should make an appointment with their surgeon to ensure that they are not experiencing a more serious post-operative complication. Once their stitches dissolve and their swelling goes down, patients should see the positive effects of their surgery. They can continue with their lives and feel better about their vision and appearance.

Posted in Eyelid Surgery | Tagged , , | Comments Off

Graves’ Eye Disease Symptoms and Treatment

The thyroid gland is responsible for secreting hormones that control the body’s metabolism. When the thyroid fails to produce enough of these hormones, a condition called hypothyroidism occurs, and it is marked by fatigue, weight gain, constipation, intolerance to cold temperatures and dry skin. An overproduction of these hormones, however, causes hyperthyroidism. Characterized by nervousness, weight loss, shakiness, rapid heartbeat and intolerance to heat, hyperthyroidism can also lead to a condition affecting the eyes called Graves’ eye disease.

What Is Graves’ Eye Disease?

Also called thyroid eye disease, this condition is a combination of thyroid disease and certain eye changes that occur when the immune system attacks the thyroid gland and tissues around the eyes. The most telling sign of Graves’ disease is a protrusion of the eyeballs. Other symptoms can include swollen eyelids and eye redness, burning and watering. As the disease progresses, some people have trouble closing their eyelids all the way or develop double vision. Over time, the eye bulging, also called proptosis, can progress to a point where the cornea is exposed and develops ulcers and infections. In extreme cases, the optic nerve may experience strangulation, which leads to impaired vision.

Who Gets Thyroid Eye Disease?

As with all autoimmune diseases, the cause of Graves’ disease is unknown. Women are 10 times more likely to develop the condition than men, and people with a family history of the condition are thought to be at an increased risk. Those who already have an autoimmune disease, such as rheumatoid arthritis or lupus, are also more likely to develop thyroid eye disease. Although anyone at any age can be struck with Graves’ disease, it most often begins in a person’s 20s or 30s.

How Is the Condition Diagnosed?

Physicians in Houston are most often prompted to investigate the possibility of thyroid eye disease when they see the characteristic eye bulging in a patient. Blood tests can confirm abnormal thyroid levels and detect antibodies that may point to Graves’ disease. Imaging tests, including MRIs and CT scans, can also reveal swelling or other abnormalities in the eyes and orbits that suggest thyroid eye disease.

What Are the Treatment Options for Graves’ Eye Disease?

Graves’ disease manifests in two phases. Phase one is called the active phase, and this is when the inflammatory symptoms occur. During this phase, which can last anywhere from a few months to two years before spontaneously halting, the goal of treatment is to manage symptoms. Corneal exposure, which leads to dry eyes and ulcers of the cornea, can be addressed with artificial tears, and some patients tape their eyelids shut at night to avoid further exposure. Corneal ulcers may also require frequent rounds of antibiotics to prevent complications. When strangulation of the optic nerve occurs, radiation therapy can help reduce inflammation in the orbital tissue. Radiation is sometimes combined with steroids that are administered either orally or via injections in the eye orbit. While steroids can effectively suppress inflammation, these medications can cause side effects and are not a safe long-term solution.

The second phase begins when the inflammation subsides and the disease stabilizes. At this point, a Houston Graves’ disease repair & reconstruction physician can perform one or more surgical procedures to correct tissue changes. The surgeon can correct double vision with a procedure that repositions the eye muscles. An oculoplastic surgeon may also perform orbital decompression surgery to create more room in the eye socket. This surgery relieves pressure on the optic nerve to preserve vision and gives bulging eyes adequate room to return to their normal positions. After the orbital decompression procedure, a Houston eyelid surgery specialist can correct eyelid retraction with surgical repositioning or by weakening the muscles of the upper eyelids so that they droop and provide more cover for the eyes.

Posted in Graves Disease | Tagged , , | Comments Off

Hello world!

Welcome to WordPress. This is your first post. Edit or delete it, then start blogging!

Posted in Uncategorized | Leave a comment