About two months ago I got a corneal abrasion on my right eye and my cornea feels fine now but my eyelid is still droopy. Will my eyelid go back to normal or will I require eyelid surgery? If it will go back to normal on its own, how much longer will it take? I have attached some pictures.
December 31, 2019
Answer: This ptosis was not caused by your corneal abrasion. I can say that because you have bilateral upper eyelid ptosis. The ptosis appears to be worse on the right side but you have more eyebrow compensation on the left side which is likely your dominant eye. You could wait 6 months as suggested. It would be the conservative recommendation however, a review of pre abrasion photographs will most likely show that you have upper eyelid ptosis before the abrasion. I suspect that you could reasonable have ptosis surgery whenever you feel ready for it. The most popular form of ptosis surgery offered by oculoplastic surgeons is the Mueller's muscle conjunctival resection ptosis surgery. Based on your photograph, I would not expect that surgery to be successful for you. You appear to have an incomplete central disinsertion of the levator aponeurosis-the tendon that raises the eyelid. You also have upper eyelid lash ptosis, a hollow upper eyelid sulcus, and a high crease. I believe that you need anterior levator aponeurosis resection ptosis repair with crease lowering and an anchor blepharoplasty. There is no substitute for a detailed personal assessment.
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December 31, 2019
Answer: This ptosis was not caused by your corneal abrasion. I can say that because you have bilateral upper eyelid ptosis. The ptosis appears to be worse on the right side but you have more eyebrow compensation on the left side which is likely your dominant eye. You could wait 6 months as suggested. It would be the conservative recommendation however, a review of pre abrasion photographs will most likely show that you have upper eyelid ptosis before the abrasion. I suspect that you could reasonable have ptosis surgery whenever you feel ready for it. The most popular form of ptosis surgery offered by oculoplastic surgeons is the Mueller's muscle conjunctival resection ptosis surgery. Based on your photograph, I would not expect that surgery to be successful for you. You appear to have an incomplete central disinsertion of the levator aponeurosis-the tendon that raises the eyelid. You also have upper eyelid lash ptosis, a hollow upper eyelid sulcus, and a high crease. I believe that you need anterior levator aponeurosis resection ptosis repair with crease lowering and an anchor blepharoplasty. There is no substitute for a detailed personal assessment.
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December 31, 2019
Answer: Ptosis Ptosis can occur after any sort of inflammation of the eye. As the inflammation improves, the lid may return to its' original position. It is best to wait about 6 months to see what happens. If it does not raise by 6 months, see an oculoplastic surgeon who can evaluate the eyelid muscles to determine what would be the best surgery to elevate the eyelid.
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December 31, 2019
Answer: Ptosis Ptosis can occur after any sort of inflammation of the eye. As the inflammation improves, the lid may return to its' original position. It is best to wait about 6 months to see what happens. If it does not raise by 6 months, see an oculoplastic surgeon who can evaluate the eyelid muscles to determine what would be the best surgery to elevate the eyelid.
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