Surgical Correction of the Palpebral Ptosis
What is it?
The surgical correction of palpebral ptosis, in particular in the senile form, can be represented by the two surgical interventions: plication of the eyelid elevator muscle or repositioning of the same muscle on its tarsal insertion.
When is this procedure indicated?
The surgical treatment varies for congenital forms according to the age of the child, the degree of ptosis and the reactive functioning of the elevator muscle of the upper eyelid (muscle that has the task of raising the eyelid for the opening of the eye) for the senile, neuropathic or mechanical forms.
How is it performed?
Ptosis correction is a procedure that takes about 30 minutes per eyelid. It can be performed under local anesthesia with minimal sedation because of the importance of collaboration between surgeon and patientnte. In fact, during the procedure, the surgeon asks the patient to open and close his or her eyes to visualize the most correct and precise eyelid position in symmetry with the contralateral one. In the event that surgery is on the child, if the child is cooperative and calm, the procedure can be carried out under local anesthesia, otherwise general anesthesia must be applied.
Recovery
In the immediate postoperative period, the patient will have an eyelid suspension dressing that covers the eye for about 4 hours, while sutures will be removed after 5 days. The patient will need to take antibiotic therapy in tablets and eye drops for 7 days following surgery.
Normally, the eyelid is swollen and blue for about 3 weeks afterwards, regardless of the type of surgery that was performed.
The benefit is immediate as the patient will no longer have to contract the ipsilateral frontal muscle to compensate for the lowering of the eyelid, and will no longer have the uncomfortable need to raise his head to try to look through the residual palpebral fissure, accentuated especially in the evening hours. This involves in particular the resumption of reading in the evening, watching television or driving, while before it was in difficulty because the eyelid was lowered so much to cover the eye, with respect to the whole day.
Where do we treat it?
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