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Medical Eyelid Procedures



Upper and Lower Blepharoplasty

With age, sun exposure or genetic factors, loose skin and excess fat may accumulate in your upper and lower eyelids. Blepharoplasty corrects sagging eyelids, excess folds and under-eye pouches. The surgery is performed under local anesthesia with sedation and takes one to two hours. You can resume light activity within three days, and exercise and more vigorous activities in one week.

Ptosis

Ptosis is the medical term for drooping of the upper eyelid, a condition that may affect one of both eyes. When the edge of the upper eyelid falls, it may block the upper field of your vision. Symptoms of ptosis include a decreased ability to keep your eyes open, eye strain and eyebrow fatigue from the increased effort needed to raise your eyelids, and fatigue – especially when reading. Acquired ptosis is treated surgically, with the specific operation based on the severity of the ptosis and the strength of the levator muscle. Surgery is designed to reattach the stretched muscle to its normal location.

Ectropion

Ectropion is the medical term used to describe an abnormal lower eyelid that turns outward and no longer touches the eye. As a result, the conjunctiva (the mucous membrane that lines the eyelid) may become red and exposed. This condition usually involves one or both lower eyelids but rarely, may affect the upper eyelid(s). If the ectropion is due to laxity of the eyelid’s supporting structures, it is best treated surgically. Depending on the cause, surgery can reposition the eyelid back to its normal position against the eye.

Entropion

Entropion is a condition in which an eyelid turns inward, rubbing against the eye, making it red, irritated and sensitive to light and wind. If it is not treated, the condition can lead to excessive tearing, crusting of the eyelid, mucous discharge, and irritation of the eye. A serious inflammation could result in damage to the eye. There are a number of surgical techniques for successfully treating entropion and each surgeon will have a preferred method. The usual treatment for entropion involves tightening of the eyelid and its attachments to restore the lid to its normal position.

Thyroid Eye Disease

One of the most common thyroid diseases is hyperthyroidism, in which there is an overproduction of thyroid hormones. People with hyperthyroidism may experience some degree of eye difficulty. Eye problems are most commonly caused by abnormal swelling of the soft tissues surrounding the eyes, and enlargement of the muscles that move the eyes and open the eyelids.  As a result, the eyes may protrude forward, there may be retraction of the upper eyelids which forces the lids apart, there is an inability to fully close the eyelids, and an abnormally large amount of the front of the eyes is exposed. This results in wide prominent eyes, a fixed staring expression, and infrequent blinking of the eyelids.

Congenital Lacrimal Obstruction DCR

Congenital Lacrimal Obstruction is tearing in children. The lacrimal (tear) glands produce tears constantly during the day to keep the eyes lubricated. The tears drain away from the eyes through the lacrimal drainage system.

Tear Duct

The tear drain consists of two small openings called punctum; one in your upper eyelid and the other in your lower eyelid. Each of these openings leads into a small tube called the canaliculus which, in turn, empties into the lacrimal sac between the inside corner of your eye and your nose.  The lacrimal sac leads into a canal called the nasolacrimal duct that passes through the bony structures surrounding your nose and empties tears into your nasal cavity. The most common symptoms are excessive watering, mucous discharge, eye irritation, and painful swelling in the inner corner of your eyelids. Your surgeon may recommend a number of treatments based on the analysis of your symptoms.

Periocular Skin Cancers

The outer layer of skin is called the epidermis. Epidermal cells include flat squamous cells, round basal cells, and pigment producing melanocytes. The dermis is the deeper layer of skin and contains the hair follicles, oil and sweat glands, and blood vessels. Skin cancers can arise from any of these skin cells. A biopsy is usually required to confirm the diagnosis of skin cancer.

Facial Fractures

There are many types of facial fractures. Because the eye sockets are a central location on the face, they are commonly involved in accidents involving the face. The oculoplastic surgeons at Minnesota Eye Consultants perform primary repairs after accidents, as well as secondary repairs in patients who have had accidents many years ago or recently had surgery that did not produce a satisfactory result.

Bell's Palsy

Bell's Palsy is a form of facial paralysis resulting in the inability to control facial muscles on the affected side. Several conditions are thought to cause facial paralysis including brain tumors, stroke, and Lymes Disease, however if no specific cause can be identified, the condition is known as Bell's Palsy. Bell's Palsy can interrupt the eyelid's natural blinking ability, leaving the eye exposed to irritation and drying. This condition affects each individual differently as some cases are mild and symptoms disappear in a couple weeks, while others may need medications or therapeutic treatments. The prognosis for individuals with Bell's Palsy is generally very good, with the extent of nerve damage determining the extent of recovery. Drs. Lipham and Melicher can help those suffering from Bell's Palsy regain the ability to close the affected eye. 

 

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