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Thank you for sharing your question and posting your photograph. Yes, you are an excellent candidate for ptosis repair. See an experienced Oculoplastic Surgeon for comprehensive evaluation and discussion of treatment options.Good luck,
Honer's syndrome includes upper eyelid ptosis, constricted pupil on the same side as the ptosis, and deceased sweating in the immediately adjacent skin. Having just a ptosis does not make a Horner's syndrome. If you have an actual Horner's syndrome, you need to be evaluated for why you have Horner's syndrome. The list of potential causes is long and varied from minor head trauma (repetitively heading a soccer ball to chest wall tumors. If your pupil is normal, then you just have upper eyelid ptosis. For a pure Horner's syndrome related ptosis, a Mueller's muscle conjunctival resection ptosis surgery can be a very appropriate surgery. In your case, I can almost guarantee that a Muellerectomy will be the wrong surgery for you. You photo suggests that you have almost 3 mm of upper eyelid ptosis. The Muellerectomy is only good for 1-2 mm of upper eyelid ptosis. Your upper eyelid very much has a configuration of a central leavtor disinsertion with retraction of the anterior orbital fat into the orbit. These are best addressed with an anterior levator resection ptosis repair irrespective of your response to the neosynephrine drop test.It can be helpful to get more than one option before having surgery. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified surgeon close to home.
Horners related eyelid ptosis can usually be corrected or improved with ptosis surgery. See an oculoplastic surgeon for evaluation.
Yes we treat many patients with ptosis secondary to Horners. Make sure to see an oculoplastic surgeon for your care. For more information visit our website
thank you for your question and photo. Yes, you do appear to be a very good candidate for upper eyelid ptosis repair. Consider seeing an oculoplastic surgeon in your area for a consultation. Best of luck!
you are a great candidate for surgery and this will improve the symmetry of your eyelids (but not your pupils). the procedure is a relatively easy outpatient procedure called a conjuntivomuellerectomy. please find an oculoplastic surgeon in your area and good luck!
You are a perfect candidate for surgery! The surgical procedure is directed at the muscle involved by the Horner’s and is called a muellerectomy. You will need to see an oculoplastic surgeon. Best of luck!
Yes this can be corrected. It’s important that you find a surgeon that you feel comfortable with and can show you before and after of their results. I recommend seeing a board certified facial plastic surgeon who can show you their own before and after results. I wish you the best from Los Angeles. Dr. Ardeshirpour
Hi there, It seems to me unlikely that insurance will cover revision surgery in your case, based on your description, because it sounds like you have had significant visual benefit from the ptosis repair that you had. Your complaints at this point are based on appearance. It is often hard...
It appears you have asymmetric upper eyelid ptosis. You may benefit from scarless internal ptosis surgery. See an oculoplastic surgeon.
Thank you for sharing your question. There is probably no connection to your symptoms and the ptosis. It is no unusual to require ptosis surgery on the opposite eye that was first operated on. Good luck with the second eye.