I am a 69-year old female. Last December I had cataract removal on my right eye (left eye was done in September). Since the second surgery, I have noticed a definite and progressively worsening drooping of the right eyelid. This drooping became noticeable within a week after the surgery. It is very noticeable and has begun to interfere with my vision. Is this a common occurrence? Repairable? Any input would be appreciated.
Answer: Levator dehiscence
The high eyelid crease (distance from the eyelid margin to the upper eyelid crease) suggests a loosening of the muscle that elevates the eyelid (levator). This is a common age-related occurrence, but trauma, including surgery, could accelerate the process. This is easily repairable by an ophthalmologist or plastic surgeon, but may or may not be covered by your insurance.
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Answer: Levator dehiscence
The high eyelid crease (distance from the eyelid margin to the upper eyelid crease) suggests a loosening of the muscle that elevates the eyelid (levator). This is a common age-related occurrence, but trauma, including surgery, could accelerate the process. This is easily repairable by an ophthalmologist or plastic surgeon, but may or may not be covered by your insurance.
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Answer: Droopy eyelid following cataract surgery I assume that the droop has persisted for a year now following cataract surgery. It can happen following surgery and a recognised event. think if the muscle in the eyelid is working well you would benefit from ptosis (droopy eyelid) surgery.
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Answer: Droopy eyelid following cataract surgery I assume that the droop has persisted for a year now following cataract surgery. It can happen following surgery and a recognised event. think if the muscle in the eyelid is working well you would benefit from ptosis (droopy eyelid) surgery.
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September 5, 2018
Answer: Consider other causes as well Thank you for the photo - I can see a marked asymmetry which must be quite troubling for you. This is indeed an infrequent event after cataract surgery however it is important to see a specialist to rule out other sinister causes such as myasthenia gravis, a third cranial nerve palsy or a Horner's syndrome. Ideally see an oculoplastic specialist who can then talk you through the surgical options as well if there is nothing otherwise underlying.
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September 5, 2018
Answer: Consider other causes as well Thank you for the photo - I can see a marked asymmetry which must be quite troubling for you. This is indeed an infrequent event after cataract surgery however it is important to see a specialist to rule out other sinister causes such as myasthenia gravis, a third cranial nerve palsy or a Horner's syndrome. Ideally see an oculoplastic specialist who can then talk you through the surgical options as well if there is nothing otherwise underlying.
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March 5, 2018
Answer: Droopy lid I would agree with the others but would add lingering mild inflammation after surgery as a cause. Have your surgeon check and if no iritis or surface irritation.
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March 5, 2018
Answer: Droopy lid I would agree with the others but would add lingering mild inflammation after surgery as a cause. Have your surgeon check and if no iritis or surface irritation.
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July 14, 2019
Answer: Eyelid Tightening Would Help Dear CaroleAnn.............thank you for your question. If indeed your cataract surgery was performed with an anesthetic "block" or injection, in which case you would have gone home immediately after surgery with a patch, then there may be a correlation to your surgery from the anesthetic injection causing weakening of the upper eyelid muscle known as the levator muscle. If, however, you went home without a patch because you had "topical anesthesia", then there would be no correlation with your cataract surgery. The eyelid drooping that you are noticing in your right upper eyelid is due to weakening of the levator muscle. Most commonly this gradually occurs due to aging, although there are other less common associated causes. The good news is that the eyelid muscle can undergo a "muscle-tightening" outpatient surgical procedure to bring up the lid once again. I would recommend seeing an ophthalmologist who has experience performing this type of procedure. Good luck! Emilio M. Justo, M.D., Founder & Medical Director
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July 14, 2019
Answer: Eyelid Tightening Would Help Dear CaroleAnn.............thank you for your question. If indeed your cataract surgery was performed with an anesthetic "block" or injection, in which case you would have gone home immediately after surgery with a patch, then there may be a correlation to your surgery from the anesthetic injection causing weakening of the upper eyelid muscle known as the levator muscle. If, however, you went home without a patch because you had "topical anesthesia", then there would be no correlation with your cataract surgery. The eyelid drooping that you are noticing in your right upper eyelid is due to weakening of the levator muscle. Most commonly this gradually occurs due to aging, although there are other less common associated causes. The good news is that the eyelid muscle can undergo a "muscle-tightening" outpatient surgical procedure to bring up the lid once again. I would recommend seeing an ophthalmologist who has experience performing this type of procedure. Good luck! Emilio M. Justo, M.D., Founder & Medical Director
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