Canthopexy gone wrong? ({hptp_

Question

I had a canthopexy after lower bleph that left me with a bit of sclarel show. My left eye is doing fine, but my under eyelid on my right eyes never really "stuck" on the side like the left one did. I didn't feel any tightness and I told my surgeon about this, and he said it was perfectly acceptable conditions. Now when I blink my under eyelid moves with my upper eyelid. And there is a gap on the corner (where the stitches were made). Is this normal? It has been 2 months.

Kenneth D. Steinsapir, MD · Answer

In looking at this photograph, it is clear that your lateral cantoplasty is not correctly structured. Not only is there a  gap between the eyelid and the eye that should not be present, but the canthal corner has not been put together correctly. The absolute end of the lower eyelid needs to precisely meet the absolute end of the upper of the upper eyelid. That is clearly not happening here. This will not heal itself. You will need reconstructive surgery to correct the corner, the frank lower eyelid ectropion, and the lower eyelid retraction.

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