What is the best Ptosis surgery option? (photo)

Question

Hi Doctors, I've droopy eyelids since 1.5 yrs with right eye more droopy than left. Myasthenia Gravis has been ruled out by performing all the relevant tests(Neostigmine, RNS, SFEMG, Anti AChR). I've fluctuating thyroid levels(hypothyroidism). I've been diagnosed with Chronic Progressive External Opthalmoplegia. I've attached my photos. Which surgery is the best recommended for me? Frontalis sling or the other ones?? Who is the best specialist surgeon to perform the same in India?? Thanks.

John J. Martin, Jr., MD · Answer

You will need to see an oculoplastic surgeon to evaluate the muscle function,  and your cornea.  Any surgery to correct for CPEO will cause the eye to remain open which can dry out your cornea.  How well you adapt to the corneal exposure will depend on your age, and remaining eye movements.

Kenneth D. Steinsapir, MD · Answer

Fortunately the left eye is opening.  The difficulty with surgery for you is that you will most likely need a frontalis sling surgery which will cause chronic corneal exposure.  Please talk to your ophthalmologist about a ptosis crutch.  This is a little devise that fits into the glasses and pushes up the eyelid.  The other recommendation I have for you is avoid cigarette smoke and high levels of carbon monoxide.  Good luck and please be very careful with well meaning surgeons anxious to perform eyelid surgery.

Mehryar (Ray) Taban, MD, FACS · Answer

To answer your question requires in person examination. The type of ptosis surgery depends on the strength of the levator muscle, among other things. See an oculoplastic surgeon.

What is the best Ptosis surgery option? (photo)

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What is the best Ptosis surgery option? (photo)

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.