Eyelid Surgery: Q&A
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Eye Shape Change After Car Accident, Scarring Around and in Eye Lid, What Revision Can Be Done?
3 and half months ago I asked a question regarding my scar that was wrapped around my eye after hitting the steering wheel of my car. The doctors said there was a cheek bone fracture, but it was relatively clean, and that I had a possible orbital blowout. The lower and upper eyelid appear to have changed and it looks like I have a smaller eye, also the upper eyelid scar is effectively acting as the crease/fold in my eye lid. It looks like ptosis, but I thought that was just upper lids...
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5 Doctor Answers |
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EnglishBill
+2
These photos are not very good.
Bill
Sorry to be picky but the angles on these photos actually make it more difficult to assess what is going on. A straight ahead photo showing both eyes and a full face picture would be very helpful. When you call yourself EnglishBill does that mean that you are in the UK? In the United States you would have had a CT scan of the orbit to look for an orbit fracture so there would be no question of what you do or do not have. While it is true that may orbit...
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Eye Shape Change After Car Accident, Scarring Around and in Eye Lid, What Revision Can Be Done?
It appears that the scar tissue is tethering some of the surrounding skin and limiting the motion too. I think possibly some steroid injections into the scar tissue to attempt to soften it at this point can be done. I think seeing with X-Rays if you do have an orbital blow out is a good idea. If there is, it might need to be repaired in order to properly suspend your eye in the socket. Down the road in a few months some scar revisions might be in order surgically if things do not get better.
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CT scan is imperative
Unless we have improve photo angles to see true asymmetry, it will be impossible for us to give you an accurate recommendation. You definitely will need a CT scan to assess the underlying bony anatomy if there is a significant asymmetry.
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Eye Shape Change After Car Accident, Scarring Around and in Eye Lid, What Revision Can Be Done?
Without a good personal examination, it is hard to tell you what needs to be done. I can tell you that revision can be done and that you should see an Oculoplastic surgeon to find out what would be best for you.
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Eyelid Scar Contracture And The Timing Of Scar REvision
Your photos are not ideal and your facial fracture history is not clear. But what is apparent is that you have a scar encircling the outer aspect of the upper and lower eyelids. This pattern of scar and its location has caused contracture around the eyelids and a bit of a trapdoor deformity between the lower eyelid and the cheek. This is probably why you feel the eyelids are smaller. This is expected given the location of scar and the time of three to six months after surgery...
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