Ptosis (Drooping Eyelid)
Your doctor has suggested surgery to repair your ptosis (pronounced “toe-sis”). A drooping eyelid, called ptosis, can partially or fully cover your eye and block your vision. This usually happens when the muscles that lift your eyelid become weak, stretched, or separated. Sometimes ptosis develops because of nerve damage that affects these same muscles.
Impact on Daily Life
Ptosis affects both vision and appearance. Droopy eyelids may make you look tired and older than you are. A common sign of ptosis is raising your eyebrows or titling your head back in order to see better. Ptosis repair can provide a better field of vision as well as improve the eye’s appearance.
The Surgical Procedure
Ptosis repair surgery is typically an outpatient procedure done under local antithetic. This numbs the eyelids and relaxes you for the surgery. During surgery to repair ptosis, the eye surgeon will make an incision in the crease of the upper eyelid skin or on the inside of the eyelid where it won’t be visible.
During surgery, the muscles responsible for raising your eyelid will be addressed. The surgeon will either tighten one of the muscles or reattach it to the upper lid using stitches or surgical adhesive. The technique used will depend on the specific cause and severity of your ptosis.
Recovery Period
The healing process determines where your eyelid will ultimately rest. Your eyelid may still droop after surgery. It can take a few weeks for your eyelid to reach its final position. During this time, you may experience:
- Some bruising and swelling
- Temporary dryness or irritation
- Mild discomfort
- Sensitivity to light
You will need to schedule multiple follow-up appointments with your ophthalmologist to monitor your recorder after surgery. He or she will be able to tell you if an additional procedure is necessary to adjust eyelid height.
Potential Risks
As with any surgery, there are possible risks. Ptosis surgery risks can include:
- Unusual bruising or swelling after surgery
- Severe dry eye
- Bleeding from the incisions
- Infection
- Pain
- Sensitivity to sun or bright light
- Difficulty closing the eyes
- Scarring
- Need for adjustment or additional surgery
- Change in vision (either temporary or permanent)
- Possible blindness (extremely rare)
- Problems from anesthesia
Important Considerations
The only way to fully repair ptosis is with surgery. Surgery is the only effective treatment for ptosis. While surgery is not for everyone, leaving ptosis untreated can lead to vision problems since the drooping eyelid may impair your sight. This is especially important for children, as untreated ptosis during development can cause lasting vision impairment.
Pre-Surgery Preparation
Before surgery, your doctor may recommend:
- Stopping certain medications that can increase bleeding
- Having a complete eye examination
- Taking photographs to document your condition
- Discussing your expectations for the surgery
Getting Your Questions Answered
If you have any questions or concerns about the procedure, ask your ophthalmologist. Never hesitate to bring up any questions or concerns you may have about your vision or our eyes in general. Your ophthalmologist will ensure your sight is protected and you understand all aspects of your care.
Remember that each person’s case is unique, and your ophthalmologist will create a treatment plan specifically for your situation.
