When should surgical treatment of droopy valve be performed?
There is no specific age limit for this surgery. The reason for the operation is the most important issue in terms of timing. Treatment of congenital droopy eyelid covering the colored part of the unilateral eye should be done immediately, regardless of the age of the patient. Because this is a cause of lazy eye and functional blindness for the eye with droopy eyelids, and urgent surgical treatment is required. In congenital droopy eyelids that do not cover the pupil, it should be corrected when the child becomes aware of this picture after an oculoplastic surgeon determines that there is no risk of amblyopia. Today, children at the age of 3-4 do not hesitate to identify the differences between them and tell them to each other. This causes social psychological problems and introversion in children with droopy eyelids. For this reason, it is appropriate to apply surgery to these children at the age of 4 on average. In the adult period, droopy eyelids pose a more cosmetic problem. Colleagues, especially in young working adults, warn patients by expressing the “sleepy” appearance that occurs due to drooping valves. In addition, the droopy eyelid covering the pupil can cause functional vision loss by causing narrowing in the unilateral or bilateral visual field, and loss of 3-dimensional vision. Surgery performed for these reasons can correct the patient’s cosmetic and functional complaints.
I am afraid of local anesthesia, can I have surgery under general anesthesia?
General anesthesia is mandatory in childhood. However, my preference in adulthood is local anesthesia. Because we can both protect the body from the problems related to systemic anesthesia by giving unnecessary drugs to the body, and because we only keep the eye conscious by numbing the eye, we have the opportunity to put the patient in a sitting position on the operating table and adjust the lid level and symmetry with the other eye in the best possible way.
How many days will I stay behind from my job for this surgery, will there be any scars on my eyes?
In most cases, control is required on the 1st and 5th days after surgery. In lid surgery, there is a rapid recovery because incisions made from the eyelid fold, which is already a natural scar, inside or outside the eye, are used so that there is no scar. Stitches 7-10 days according to the wound healing of the person. It is taken daily. The patient often returns to work within 15 days.
Is Botox the definitive treatment for blepharospasm?
In most cases of blepharopasm, hemifacial spasm, the cause cannot be found (essential). For this reason, treatment is applied for the clinical finding, that is, the result of the disease, not the cause. Botox used in this disease is a neurotoxin that inhibits muscle contraction. When applied in appropriate conditions and doses, there is no harm to the body and eyes. Botox treatment is repeated in 3-4 monthly periods. This is because the drug is excreted from the body and its effectiveness is lost during this time.
Is there a chance to be treated with surgery?
Surgical treatment is an alternative treatment for patients who do not respond adequately to Botox treatment. In this surgery, the involuntarily twitching eyelid muscles are surgically removed and the contractions are stopped, instead of paralyzed by Botox.
Does this disease cause blindness?
No. There is no relationship between this disease and the ways of seeing, but when patients cannot open their eyes, they are faced with the picture of “functional blindness”.
How is inward or outward rotation surgery performed on the lid?
Valve surgery is usually performed under local anesthesia. Congenital valve deformities require general anesthesia in children. Procedures that correct the valve anatomy are frequently applied. Samples taken from places that imitate lid skin such as behind the ear or arm, or from tissues that imitate eye membranes such as oral mucosa and amniotic membrane can be used in surgery in cases related to tissue deficiencies.
How long does the surgical procedure take and when can I return to work?
The process takes 1-3 hours depending on the severity of the table. Cases can usually start work within 15 days.
Can recurrence of the picture be seen after this surgery?
Correction of the picture requires a complex surgical procedure to correct various steps. If these steps are not performed with appropriate surgery, the table may recur. For this reason, it is a procedure that should be performed by experienced oculoplastic surgeons working on this subject.
Is facial paralysis temporary?
The cause of facial paralysis determines the process of this picture. Facial paralysis due to a treatable cause may be temporary. Diabetes, vaccination, sarcoidosis, upper respiratory tract infections, Herpes virus, otitis media, cancers, trauma, vascular anomalies are among the causes of facial paralysis. Treatment protocols applied with these tables can improve facial paralysis.
How does gold weight work in facial paralysis, will it harm my eyes, is there an alternative surgery?
Since the upper eyelid cannot be closed in facial paralysis, the lid is closed with the effect of gravity and gold weight. Therefore, cosmetic problems may occur. The alternative to the gold implant is titanium implants. Since this material is a heavier metal, it provides a more effective cover correction with a thinner material, but is more expensive. There is no harm in the conditions where the implants are properly applied to the eye and used as pure metal. Alternative surgery that will restore valve functions without using an implant is surgery for the muscles that lift the valve and BOTOX applications. These methods are selected by the oculoplastic surgeon in line with the clinical findings of the person.
Eyebrow drooping, facial drooping occurred in facial paralysis, is there a cure?
Among the classical findings of facial palsy, drooping of the eyebrows and drooping of the face up to the lips with the lower eyelid are typical. There is no drug treatment for these findings. Eyebrow drooping and facial sagging can cause serious cosmetic and visual problems. Various surgical treatments are applied for this purpose. Dramatic results are obtained with eyelid lift surgeries along with brow lift and face lift surgeries. These are methods that require advanced techniques in oculoplastic surgery since a surgical procedure is performed in the opposite direction of gravity.
Are these implants harmful to my body?
The implants used are products that have been proven to be compatible with the body after years of research and have been approved for human use by many health institutions. All of the products used are used in single-use, ready-made sterile packages for the patient. Therefore, these implants do not cause any harm to the body.
Is it necessary to remove the implants later?
In most cases, the implants remain safely in place for life and continue functional support. Implants with porous structures such as MEDPOR and Hydroxyapatite are often adopted by the body, vascularized by the body and become a part of the body. In rare cases, if the paralysis can be completely resolved, the implants can be removed with a surgical application.
Do we absolutely have to use these implants?
Lid surgery with implants is often performed in cases of severe trauma and paralysis. In oculoplastic surgery, although the aim is to reconstruct using the person’s own tissues, these implants, which are used when necessary, significantly increase the surgical success.
There is a lesion in the ciliated area on my lid, will my lashes fall out when this is removed?
If the tumor is benign, it is possible to remove it from the eyelashes with special surgical tips without touching the eyelashes. However, if the tumor is malignant, the intact ciliated lid margin is also removed to prevent recurrence. During the repair, the ciliated edge is created with appropriate cosmetic techniques and lash loss is not noticed.
How does the size of the tumor affect the surgical treatment?
As in all types of cancer, the smaller the tumor is treated, the less successful the treatment, the amount of tissue to be sacrificed during treatment, and the need for additional treatment after surgery. It should not be forgotten that loss of vision up to the removal of the eye after the spread of lid tumors to the eye and orbital cavity, or loss of life as a result of the tumor spreading to the internal organs is still quite common in Turkey. Therefore, early diagnosis and treatment are important in tumor treatment.
Is there a non-surgical treatment for valve tumors?
When lid tumors are caught in the early period, freezing (cryo), radiation therapy or treatment with some special creams may be considered. However, these treatment options should be performed in accordance with the recommendations of the oculoplasty surgeon in limited cases.
After a previous eyelid trauma, my eyes stay open at night. Is there a cure for this?
The upper eyelid has the task of opening and closing. This condition can be observed after trauma to the muscles that open and close the valve, loss of valve tissue or improper correction and improper wound healing. Valve surgery is often required for this condition. In some mild cases, artificial tear drops and gels may be sufficient. During surgery, the location and deformation methods of their own valve structures can be used, as well as tissues taken from other places such as skin, hard palate, oral mucosa, ear cartilage can be used during surgery.
I had surgery on my eyelid after trauma before. My eyes are constantly watering right now. What could be the reason for this?
There are two main causes of eye watering. The first is that the production of tears is excessive, the second is that the tear outlets are closed. In the repair performed after eyelid trauma, watering may occur due to increased tear production due to reasons such as the turning of the eyelash edge to the eye surface, which will cause stinging, and the presence of stitches on the lid. However, tear drainage problems may occur as a result of non-repair or improper repair of tear ducts, which are more frequently damaged simultaneously during eyelid trauma. In this case, it is necessary to remove structures such as eyelashes and sutures that disturb the eye surface and cause excessive eye formation, or to apply surgical treatment due to obstruction of the tear ducts.
I lost my eye with the lid trauma. Can removable eye prosthesis surgery be combined with lid repair?
Serious eye traumas leading to permanent vision loss can be observed with lid trauma. In such cases, both the lid and the appearance of the eye can cause social problems cosmetically. In this case, simultaneous repair of the lid and eye socket can be surgically corrected. At this stage, mobile eye prosthesis surgery can be performed according to the condition of the existing eye tissues.
I had redness and swelling on my eyelid. The redness has subsided, but I still have some swelling on my hand.
This described picture is a chalazion picture that develops after a typical valve infection. Most of the cases used many drugs and had massage therapy for a long time. If this picture cannot be regressed with these treatments, the definitive treatment solution is surgery. In this surgery, which is performed under local anesthesia, the person can return to work the next day and does not experience any loss in his social life.
There is itching, dandruff and loss of eyelashes at the bottom of the eyelashes. Will my lashes grow back?
The most common complaints in infections of the ciliated edge of the lid are itching, dandruff and shedding of eyelashes. The bacteria involved here initiate the inflammatory process at the bottom of the eyelashes, and these symptoms are followed at the end. If there is no other dermatological disorder under the eyelash loss, these findings often improve with treatment and our eyelashes reach their old healthy appearance.
Do eyelid infections cause vision loss?
In the early period, eyelid infections begin limited to the anatomical areas of the eyelid, and there is no problem of vision loss with the treatment performed in this early period. However, if the picture is neglected, if there is contact lens use in the history, if there is vision loss in previous similar pictures, various degrees of vision loss may be observed in these cases due to the involvement of the cornea or eyeball.
My eyelashes are stinging towards my eyes, I pulled them with tweezers a few times, but they started to sting again and my eyelashes started to grow. What should I do.
Pulling eyelashes with tweezers is the most common mistake made by the public. This application will not prevent the eyelashes from coming out, but on the contrary, it will cause them to grow stronger. Therefore, it also reduces the success of future surgeries. In order to correct this picture, the most appropriate treatment type should be selected by examining many parameters such as the number of ingrown eyelashes, their placement (lower lid or upper lid), the condition of the eye surface, the general health status of the patient.
I had surgery on my eyelashes before, but my eyelashes have grown longer and are stinging. What should I do?
Eyelashes are a very durable tissue originating from the hair follicle. Like other hair follicles in the body, after applications such as laser, radiofrequency, and freezing, hair growth may occur again, but there is usually a weaker growth, and a definite result is obtained in 2-3 sessions most of the time. Surgical procedures, on the other hand, give more permanent results, but they are interventions that require more experience and time compared to other applications. Your doctor explains which application will be more suitable for which patient, the pros and cons of each application, and the appropriate treatment is shaped.
Along with my lashes, my lids also turn inwards. Are my lashes or lids sick?
In such cases, it is necessary to evaluate the patient very well. Because interventions for eyelashes alone cause undesirable results in this different patient group. In this table, surgeries to turn the lids out again should be the main target.
Does lacrimal sac inflammation recur after root canal surgery?
If the surgery due to lacrimal duct obstruction is done properly and the surgery is successful, it will not be repeated. However, recurrence is common as a result of unsuccessful root canal surgeries.