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I am dealing with drooping of the eyelids. Can you tell me more about it?

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Drooping of Left Upper Eyelid

  • Eyelid droop can be present from birth or may occur at a later age due to various causes. 

  • Congenital ptosis is dropping of eyelid by birth due to poor development of the muscle that lifts up the eyelid. 

  • This can be corrected with surgery. Detailed evaluation is needed with an oculoplasty Surgeon to plan the right surgery. 

  • Later in life drooping can occur due to muscle disease, trauma, diseases of the nerve or due to loosening of the muscle with increasing age. 

  • All above causes need detailed evaluation and specific management approach. 

  • Ptosis correction can be done with various types of surgery, when it's congenital. The common types include tightening the poorly developed muscle or insertion of a silicone sling. Under and over correction may occur in some cases and can be managed with suture adjustment. 

What is the reason for the bags under my eyes?

  • 1. With increasing age, our face undergoes lot of changes. In eyelids, loose overhanging skin on upper eyelid and loose skin with prolapsed fat bags is common in lower eyelids. 

  • 2. While the ageing changes are inevitable, it may become a cosmetic concern. 

  • 3. This can be corrected to pleasant results surgically. 

  • 4. Lower eyelid surgery can often be done with zero scar and zero stitches! 

  • 5. An Oculoplasty Surgeon is specially trained to correct defects of eyelid and are your best bet for a great result with blepharoplasty! 

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Protruding eyes in case of Thyroid Eye Disease

  • Protruding eyes can be a complaint in thyroid eye disease or due to a mass pushing the eyeball outwards.

  • An Oculoplasty Surgeon will evaluate the patient in detail to clinically figure what is the likely problem and suggest necessary investigations.

  • Imaging in form of CT scan or MRI is needed: your doctor will decide which is best for you. 

  • Treatment will depend on the clinical and imaging findings. 

  • For many orbital masses (mass or lumps behind or around eyeball), surgery is an excellent option. The surgery can be done through hidden Incisions and without any damage to the vision and eyeball in most cases. 

  • Choose your Oculoplasty Surgeon wisely! 

Does your Eyelid look different from normal? Read this to find out more..

Eyelid Lumps and Bumps

  • Varied forms of eyelid lumps and bumps arise due to the abundance of glands in eyelids

  • The lesions could be infections, composed of blood components, or inflammatory or cancer in rare cases. 

  • Detailed evaluation with an Oculoplasty Surgeon is mandatory to determine whether surgery is necessary for removal. 

  • Often surgery is performed for cosmesis even when the lesion is benign (non cancerous).

Chalazion 

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Patient with right eye upperlid chalazion

  • Chalazion is an eyelid swelling which is very common in general population.

  • It occurs due to blocked oil glands in eyelids.

  • It may arise due to frequent eye rubbing, long hours of computer use, incorrect glasses, uncorrected dry eyes. 

  • Chalazion when small can be handled conservatively with hot compresses on eyelids and ointment/drops. 

  • In case of infection in a chalazion, the swelling turns painful and will need oral antibiotics.

  • A large or multiple chalazia will require surgical removal. The surgery is done under local Anesthesia and is a very comfortable procedure.

  • Recurrent chalazion needs thorough evaluation by an Oculoplasty Surgeon. As it may be an early eyelid cancer. 

Why is my lower lid turned inwards?

  • It is due to a condition called “Entropion”. It is caused by weakness of muscle in the lower lid, lax skin on lower lid. It can also be due to burns or chemical injury.

  • Consult your eye doctor to know the best treatment options available for you.

What can be the cause of outward turning of my eyelid?

  • Most commonly it is caused by lax skin of lid. It can also be due to chemical injury or burns.

  • It can also be caused by drug reaction of sulpha group of drugs. 

My eyelid and face twitches irregularly. This is out of my control, why is it happening?

  • It is a condition called ‘Blepharospasm’. It is most commonly due to stress or irregular sleeping cycle. It can also be caused by compression of the nerve supplying facial muscle or secondary to various diseases of brain.

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