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According to Hering's Law How Likely Is One Of My Eyelids To Droop After Surgery?

asked 8 months ago by luoqingyuan in washington dc
Latest answer by Farzad R Nahai, MD
Question viewed 80 times
Tags: droopy, ptosis, expectation

My surgeon did the neo eye drop test on my LEFT eye and noticed that in the first 5-10 minutes after the drop, my LEFT eyelid went up to a position higher than my right eyelid. It looked like my right eyelid had minor ptosis. Then after another 5 minutes, the LEFT eyelid relaxed a bit and the two lids looked more even. Due to the observation, my surgeon warned me about the hering's law and said my right eyelid may droop after unilateral repair. How likely is it to happen based on my test result?

2 answers to According to Hering's Law How Likely Is One Of My Eyelids To Droop After Surgery?

+1

The test does not lie

It sounds like you are seeing a well informed and thorough physician who is properly evaluating you for ptosis surgery. Based on what you have written, if the correction of your LEFT lid is unmaksing minor ptosis in yur RIGHT lid, you should consider having both done. If you are still unsure, you can always proceed with the LEFT lid first, then see how the RIGHT one does, understanding that there is a good chance you will end up needing surgery on the RIGHT as well. You... more
Farzad R Nahai, MD

Atlanta Plastic Surgeon
+1

Hering's Law

First, I want to commend your physician. This is EXACTLY what I would have done to help evaluate your ptosis. Unmasking a possible SUBTLE ptosis on the less droopy side is always an uncertainty, and there simply is no guarantee after ptosis repair that the eyes would match perfectly. I think you cannot find an answer to your question on this or on any other forum and that your best choice is to go with your doctor's recommendations, based on his/her experience... more
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

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