DescriptionPtosis, pronounced toe-sis, is the medical term for drooping of the upper eyelids. The droopy eyelid can be mild to severe. People who have ptosis may complain that people tell them they look ‚Äútired or lazy.‚Ä? Because of a constant effort to raise the eyelids it is not uncommon to also complain of fatigue and tension headaches.
The most common reason for ptosis is acquired ptosis , which develops as we age. This is due to disinsertion of the tendon that holds the eyelid up in a normal anatomic position. Another cause is congenital ptosis , which happens when a child is born with droopy eyelids. This is rather an urgent medical condition for the child and surgery may be needed to prevent permanent loss of vision in the affected eye. Other rare causes of ptosis include myogenic ptosis from conditions such as Myasthenia gravis, neurogenic ptosis , due to third nerve palsy and mechanical ptosis from tumors or trauma.
3) How is this procedure done on my child?
All surgeries for ptosis are performed in an outpatient basis. This means the child will have nothing to eat after midnight before surgery and the surgery will be done in the morning with the child going home the same day. The surgery will vary depending on the type of ptosis which is determined by Dr. Parsa on the initial exam. In general most children with congenital ptosis will need a form of sling procedure. The sling is used to raise the eyelid to the correct level.
4) What are the post operative instructions for my child?
The first 24 hours after surgery use ice packs or frozen peas over the eyelids as much as possible, this is to decrease the post operative swelling. Children's Tylenol should be sufficient to address any pain. You will be given an antibiotic ointment which should be applied to the incision site 3 times a day for one week. The first post operative visit will be a week after surgery. Post operative swelling for a few weeks is normal. The sutures used are absorbable and will not need to be removed.
5) When can my child go back to school?
Typically the child will be able to go back to school after one week of rest.