What exactly are the eye drops used in ptosis assessment pre-op please? (photos)

I am considering ptosis treatment. On several reviews of ptosis correction surgery, there is mention of doctors using eyedrops as part of the ptosis assessment pre-op. There is even a review with pictures of eyes with and without the eyedrops. Please explain in medical terms what exactly the eyedrops do, and how it helps to assess ptosis. thank you

Doctor Answers 2

Eye drops

To simply state it, the drops help assess wether or not muellers muscle resection alone can treat your ptosis or if levator advancement is required. These are the two muscles that help elevate the lid. Your ptosis is likely caused by these muscles not working properly in some form or fashion.  

The stimulate drops make the muscle contract.  We can then assess wether shortening of the muscle will give similar results. It is a quite effective way to assess this issue.

Best of luck.

DrC


Chicago Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Ptosis evaluation

You most likely have ptosis of the left upper lid, but could have pseudoptosis related to extraocular motility disorder or thyroid dysfunction. An oculoplastic surgeon would be able to assess with eyelid and pupil measurements and make an accurate diagnosis for you. Drops are used to determine the level of a neurological defect if you have Horner's syndrome (cocaine drops) or for myasthenia gravis (edrophonium chloride). Some surgeons use an adrenergic drop to observe a response pre-op (lid elevation) to determine which surgical approach to use - posterior/ conjunctiva-Mueller's if the lid elevates. I recommend an anterior/ skin approach for all ptosis repairs, and therefore, do not perform this test. The anterior approach allows correction of the lid level, lid contour, lid crease, lid fold, and symmetry. For most patients, it is unnecessary to use drops in the assessment of ptosis. Best wishes with your repair.

Sara A. Kaltreider, MD
Charlottesville Oculoplastic Surgeon
5.0 out of 5 stars 3 reviews

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