Can people with dry eyes undergo ptosis repair and lid surgery?

Question

I have hooded eyelids and ptosis caused by Graves disease. I since had my thyroid removed and I would like to pursue surgery however, I suffer from dry eyes Is there a way to keep the eyes moist or hydrated during surgery? and would my dryness get worse? thank you.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the good question. When performed conservatively, ptosis repair may not worsen dry eyes. If the eyes are very dry to start with, it is wise to first treat the dryness prior to eyelid surgery. Make sure an expert oculoplastic surgeon evaluates your eyelids and provides you with a treatment plan tailored to your needs. Good luck.

Mehryar (Ray) Taban, MD, FACS · Answer

The quick answer to your question is yes but it has to be done more conservatively.  The technique of ptosis surgery matters too. It is best to see an oculoplastic specialist for evaluation and treatment.

Silvia McKevitt, MD · Answer

Hi Elaine, thank you for your question. Ptosis surgery and/or upper lid blepharoplasty surgery to remove the hooding on your eyelids can worsen dry eyes. However, surgery may still be able to be done if the dry eye is mild and not severe. The dry eyes should also be well controlled before proceeding with ptosis surgery and your regular ophthalmologist should be able to help you with this. Also, the eyelid surgeon performing your surgery may need to be more conservative in removing skin or may need to undercorrect the ptosis to protect your eyes from becoming too dry. Drops and ointments can be used during surgery to keep your eyes moist during surgery. Good luck!

Chris Thiagarajah, MD · Answer

If you have a blepharoplasty or ptosis repair or both and you have dry eyes they will definitely get worse. The question is whether it gets worse so you notice a difference. Without knowing your particular level of dry eyes it is hard to tell. Read more about dry eyes after blepharoplasty at blepharoplastysurgeondenver.com

John McCann, MD, PhD · Answer

Hi Elaine9712,Thank you for your question. Of course, pictures would help us get a better idea of your condition. Graves disease can cause many different eyelid and orbital issues. Dry eyes often affect those with Grave's disease and can be related to decreased tear production, eyelid retraction or proptosis leading to exposure. Therefore, any procedures that might lift the eyelid (blepharoplasty or ptosis repair) and increase exposure of the ocular surface, should only be considered after the other issues associated with Graves disease have been addressed. As this is a difficult condition to treat, I would recommend a consultation with a skilled oculoplastic surgeon in your area. Good luck!

Can people with dry eyes undergo ptosis repair and lid surgery?

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