if, say, lacrimal gland/ductules are injured during ptosis surgery/upper eyelid bleph, does it end up healing on its own? I am nervous because my dry eye hasn't been going away and is quite low tear production even after many months, but my surgeon cant identify whats wrong? Do I need the help of an oculoplastic?
Lacrimal Gland Injury?
Doctor Answers 7
Lacrimal Gland Injury?
Only for your peace of mind, YES, get a second in person eye opinion. From MIAMI Dr. Darryl j. Blinski
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Lacrimal gland injury
If a ptosis repair was performedn, the likelihood of a lacrimal gland injury is extremely low. On the other hand, a blepharoplasty can cause dry eye and lubricants can help until the eye improves with time. If not you will need to see your ophthalmologist.
Dry Eyes after Blepharoplasty
In 30 years of practice I have never seen a dry eye after blepharoplasty that did not resolve and become normal. It is important to check to see if dryness is present pre op. If eyes are very dry pre op a more conservative procedure is indicated. Lacrimal gland injury is very rare. You will be fine but it may take 6 months. If the dryness persists visit you local opthalmologist and get an evaluation and other care suggestions. Keep your room humidifyed at night. Dry room = dry eyes. Use Refresh drops in day and Celluvisc at night. Wear glasses with lateral shields when you are in sun or wind, (REI has these shields for mountain climbers) Opthalmologist have many other tricks.This is how they, in part, earn a living...ie helping make dry eyes feel fine etc. Good luck
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Dry eye is a difficult situation
Andrew C. Campbell, M.D.
Board Certified Facial Plastic Surgeon
Injury to the ductules improbable.
Ptosis surgery lifts and opens the upper eyelid. While your eyes look brighter, the larger eye does experience increase evaporative loss that may contribute to dry eye. Any motor nerve injury affecting the blink rate can also bear on the situation. Seeking a second opinion from an oculoplastic surgeon is an excellent idea. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a directory on their website that can help you locate a well qualified surgeon in your area: ASOPRS.org.
Dry eye after lid surgery
Dry eye is a possibility after ptosis repair but injury to the lacrimal gland/ductules would be unusual by an experienced surgeon. I would recommend seeing an ophthalmologist or an oculoplastics surgeon to determine the etiology of your dry eye and to direct treatment so that you have relief of your symptoms.
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