He had surgery to correct the ptosis in August 2010 at 17 months old. He was unable to close his eye after surgery. But as the swelling went down and with time his eye started to close more. To it only being slightly open when he was asleep. He has to have 2 hourly drops in his eye. I have noticed recently that his eye appears to be drooping more and his pupil is half covered most of the time. It is worse when he is tired. has the surgery failed? It is only his left eye that is affected.
Young Son w/ Congenital Ptosis - Has Surgery Failed?
Doctor Answers 5
The surgery has absolutely not failed but please realize that this is one of the most complex and sifficult problems in plastic surgery. Patients with congenital ptosis often undergo many surgeries befor a pleasing reslut is attineed. Just be confident that a pleasing result is possible and will be attine for your son. There are many possible procedures and I recommend you see two opthalmic plastic surgeons and two ABPS-FACS surgeons for opinions. Do nt rush. Go to a major University Service. Do you homework. Make sure your surgeon does this weekly and make thwem prove it. If you are not accommodated, walk out. Your son will be fine. Ideally at his next surgery, a team of both opthamic surgeon and plastic ABPS surgeon will be in attendance. This is WHAT I WOULD INSIST ON FOR MY SON! BOTH WORK TOGETHER. YOUR HARD RESEARCH AS TO WHO IS THE BEST IN YOUR AREA WILL BE REWARDED. Do not dispair. It will take 3 or 4 more surgeries to hit perfection at age 19 but YOU WILL AND CAN GET THERE. My Best. Dr Commons.
The surgery has absolutely not failed but please realize that this is one of the most complex and sifficult problems in plastic surgery. Patients with congenital ptosis often undergo many surgeries befor a pleasing reslut is attineed. Just be confident that a pleasing result is possible and will be attine for your son. There are many possible procedures and I recommend you see two opthalmic plastic surgeons and two ABPS-FACS surgeons for opinions. Do nt rush. Go to a major University Service. Do you homework. Make sure your surgeon does this weekly and make thwem prove it. If you are not accommodated, walk out. Your son will be fine. Ideally at his next surgery, a team of both opthamic surgeon and plastic ABPS surgeon will be in attendance. This is WHAT I WOULD INSIST ON FOR MY SON! BOTH WORK TOGETHER. YOUR HARD RESEARCH AS TO WHO IS THE BEST IN YOUR AREA WILL BE REWARDED. Do not dispair. It will take 3 or 4 more surgeries to hit perfection at age 19 but YOU WILL AND CAN GET THERE. My Best. Dr Commons.
It appears there is still ptosis present. It is possible that the surgery has failed. (If it was originally a frontalis sling procedure, sometimes the sling breaks.) Recommend consultation with an oculoplastic surgeon.
Dr Taban
It appears there is still ptosis present. It is possible that the surgery has failed. (If it was originally a frontalis sling procedure, sometimes the sling breaks.) Recommend consultation with an oculoplastic surgeon.
Dr Taban
It depends on the type of surgery he had, but it looks like he had a frontalis sling procedure based on the immediate post-op photo. With that type of surgery, when your son is not using his eyebrow muscle to open the eyelids, the eyelid will still seem droopy. The goal of the surgery is to set the eyelid slightly above the pupil at baseline so that when he uses his eyebrows as most children with congenital ptosis do, he can see better. The eyelid cannot be opened widely without eyebrow use because there would be risk of damage to the eye itself. Once he raises his eyebrow, you should notice a significant change in the eyelid position. If it still looks the same even if he uses his eyebrow, I would suggest seeing an oculoplastic surgeon as he may need a revision.
It depends on the type of surgery he had, but it looks like he had a frontalis sling procedure based on the immediate post-op photo. With that type of surgery, when your son is not using his eyebrow muscle to open the eyelids, the eyelid will still seem droopy. The goal of the surgery is to set the eyelid slightly above the pupil at baseline so that when he uses his eyebrows as most children with congenital ptosis do, he can see better. The eyelid cannot be opened widely without eyebrow use because there would be risk of damage to the eye itself. Once he raises his eyebrow, you should notice a significant change in the eyelid position. If it still looks the same even if he uses his eyebrow, I would suggest seeing an oculoplastic surgeon as he may need a revision.
You might also like...
It is quite possible that significant improvement occurred from her first surgery despite the fact that a total correction is still not present. Close and continued followups are required with your pediatric plastic surgeon for oculoplastic surgeon. When in doubt seek a secondary consultation. Oftentimes more than one surgery is required for the best results.
It is quite possible that significant improvement occurred from her first surgery despite the fact that a total correction is still not present. Close and continued followups are required with your pediatric plastic surgeon for oculoplastic surgeon. When in doubt seek a secondary consultation. Oftentimes more than one surgery is required for the best results.
It is a normal effect of surgery not to be able to close the eye completely. It often gets better with time but may be a permanent side effect to the surgery. It is not usually dangerous or harmful in children. Usually it is a good trade off for having the lid higher, particularly if the eyelid is blocking vision. But, you should go back to your doctor to make sure there is no problem.. It often gets better with time but may be a permanent side effect to the surgery. It is not usually dangerous or harmful in children. Usually it is a good trade off for having the lid higher, particularly if the eyelid is blocking vision. But, you should go back to your doctor to make sure there is no problem.
Web reference: http://www.chelseaeye.com/ap.htm
It is a normal effect of surgery not to be able to close the eye completely. It often gets better with time but may be a permanent side effect to the surgery. It is not usually dangerous or harmful in children. Usually it is a good trade off for having the lid higher, particularly if the eyelid is blocking vision. But, you should go back to your doctor to make sure there is no problem.. It often gets better with time but may be a permanent side effect to the surgery. It is not usually dangerous or harmful in children. Usually it is a good trade off for having the lid higher, particularly if the eyelid is blocking vision. But, you should go back to your doctor to make sure there is no problem.
Learn more: http://www.chelseaeye.com/ap.htm
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
You might also like...
Related Content
Eyelid Surgery for Ptosis, Unhappy with Results, Are these the...
6 doctor answers
How Does the Recovery for Eyelid Ptosis Compare to That of...
11 doctor answers
Is This Ptosis? And is It Fixable Without Surgery?
14 doctor answers
Ask a Doctor
Get personalized answers from board-certified doctors. For free.
Ptosis Surgery Pictures
*Treatment results may vary
Ptosis Surgery Pictures
*Treatment results may vary
