Do I need to be worried? (photo)
Doctor Answers 7
Post operative ectropion
Pulling and "WHITE SHOW" of the lower lid after Eye Lid Surgery
IF the photograph was taken perfectly perpendicular to your eyes (not high, lower or to a side) then it appears you have at least SCLERAL (or White) show and may even have Ectropion. When the lower lid is lax BEFORE surgery, any inflammation or pulling (such as taking too much skin, OR the skin pulling on the lashes) will result in exposure of the lower white of the eye. In the corners, it causes a rounding of the angles and as it moves to the center it may pull the lower lid away from contacting the globe leaving a visible tough between the lid and the eye which results in eye dryness, redness and irritation.
This CAN be prevented by tightening the eyelid corner during surgery (Canthopexy or Canthoplasty) OR by putting in a TEMPORARY stitch which holds the corner of the lower lid to its upper lid. This prevents dryness and shortening of the lower lid which will lead to needing another operation. Such a tarsorraphy stitch can be put now and upward massages may be initiated IN ADDITION to the eye drops and steroids.
Have a discussion with your surgeon as only he knows how serious the situation is and see what he says.
Peter ALDEA MD
Possible canthoplasty sooner than later
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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.