Overview
A disease in which the eyelids cover part of the eyes or most of the eyes regardless of the person′s will.In addition to narrowing the field of vision, it can cause eyestrain, headaches and stiff shoulders.There are two main types: congenital ptosis and acquired ptosis.The former was born with age, and the latter was caused by an abnormality in the aponeurosis, muscle, and nerve problems.It is a disease that is covered by insurance and is usually expected to improve in a few weeks after surgery.The symptoms are similar to those of false eyelid drooping (a disease in which the eyelid drops due to the lowering of eyebrows) and eyelid skin relaxation (a disease in which the eyelid muscles sag and the eyelid drops), so you need to be careful.cause
In the case of congenital ptosis, the reason is that the upper eyelid muscle, which raises and lowers the eyelid, has abnormal development, and the nerves that move the muscles, are abnormal.Most of them have no impairment in eye function, but they can also cause amblyopia and strabismus.Acquired eyelid drooping occurs when the eyelid, which was originally open without any problems, gradually or suddenly drops.Most of them are caused by the development of the tendon at the end of the upper eyelid muscle as it ages.By using the contact lens for a long period of time, the muscle between the cartilage of the eyelid and the upper eyelid muscle is rubbed and loosened, which may cause the disease.People with a history of cataract or glaucoma are also likely to have it.In addition, in rare cases, nerve stimulation may be caused by muscle abnormalities such as ′severe myasthenia,′ or by nerve abnormalities such as ′momotor nerve paralysis,′ which paralyzes the nerves that raise the eyelids.Sometimes, the tendon breaks due to trauma.symptom
Because the eyelids are lowered and a part or a large part of the black eye is covered, it becomes difficult to see things.It can also cause stiff shoulders and headaches by raising the jaw to cover the difficulty of seeing.Symptoms may appear on only one side or in both eyes.In the case of congenitality, about 80 percent of them are only on one side.In the case of acquired diseases, symptoms usually appear gradually over several years, but in the case of cerebral infarction, the symptoms occur suddenly.In addition, if the symptoms fluctuate significantly during the day, such as the eyelid rises without any problems in the morning, but does not rise in the evening, severe myasthenia, one of the autoimmune diseases, is suspected.examination and diagnosis
If the upper eyelid is covered with the pupil while looking at the front, it is suspected that the eyelid is drooping.In the interview, it is confirmed when the symptoms started to occur, and whether or not the symptoms are innate is determined.For more information, we will examine the muscle function of the eyelids and examine the head with CT and MRI.If aging or long-term use of contact lenses is the cause, muscle function will deteriorate.In the case of nerve paralysis caused by cerebral infarction, CT and MRI tests show abnormalities.If severe myasthenia is suspected, a blood test was conducted.Because the disease occurs when the tissue (receptor) receiving information from the nerve is destroyed by the antibody, it is determined by whether the antibody is confirmed in the blood.treatment
Check if there are problems with visual functions such as narrowing of the field of vision and amblyopia, and if there is a possibility, both congenital and acquired surgery is performed.In the case of birth, surgery was performed to restore the muscle function of the eyelid.However, if it is not serious, there is no need to perform surgery in a hurry, and the patient waits for natural healing after observing the progress.If it does not improve to some extent, surgery will be performed.If the eyelid is acquired and mild, surgery is performed to make it easier to open the eyelid itself by shortening the muscles to lift the loose eyelid and restoring tension.If the patient is seriously ill, the patient should be treated by surgery to lift the eyelid using the muscles of the forehead.In the case of severe myasthenia, treatment is advanced by using a drug (immunosuppressive drug) that suppresses the production of antibodies that destroy receptors and a drug that enhances nerve transmission.In the case of cerebral infarction and other causes of ocular nerve paralysis, the original disease is treated, but the treatment may recover naturally, so we will wait and see for a few months.precautions after prevention/treatment
Although there are individual differences, the eyelids may swell for about a week after surgery.After a few months of complete recovery, the appearance becomes a natural double eyelid.If there is a difference between left and right, surgery may be performed again, so you need to observe the progress after surgery.
A disease in which the eyelids cover part of the eyes or most of the eyes regardless of the person′s will.In addition to narrowing the field of vision, it can cause eyestrain, headaches and stiff shoulders.There are two main types: congenital ptosis and acquired ptosis.The former was born with age, and the latter was caused by an abnormality in the aponeurosis, muscle, and nerve problems.It is a disease that is covered by insurance and is usually expected to improve in a few weeks after surgery.The symptoms are similar to those of false eyelid drooping (a disease in which the eyelid drops due to the lowering of eyebrows) and eyelid skin relaxation (a disease in which the eyelid muscles sag and the eyelid drops), so you need to be careful.cause
In the case of congenital ptosis, the reason is that the upper eyelid muscle, which raises and lowers the eyelid, has abnormal development, and the nerves that move the muscles, are abnormal.Most of them have no impairment in eye function, but they can also cause amblyopia and strabismus.Acquired eyelid drooping occurs when the eyelid, which was originally open without any problems, gradually or suddenly drops.Most of them are caused by the development of the tendon at the end of the upper eyelid muscle as it ages.By using the contact lens for a long period of time, the muscle between the cartilage of the eyelid and the upper eyelid muscle is rubbed and loosened, which may cause the disease.People with a history of cataract or glaucoma are also likely to have it.In addition, in rare cases, nerve stimulation may be caused by muscle abnormalities such as ′severe myasthenia,′ or by nerve abnormalities such as ′momotor nerve paralysis,′ which paralyzes the nerves that raise the eyelids.Sometimes, the tendon breaks due to trauma.symptom
Because the eyelids are lowered and a part or a large part of the black eye is covered, it becomes difficult to see things.It can also cause stiff shoulders and headaches by raising the jaw to cover the difficulty of seeing.Symptoms may appear on only one side or in both eyes.In the case of congenitality, about 80 percent of them are only on one side.In the case of acquired diseases, symptoms usually appear gradually over several years, but in the case of cerebral infarction, the symptoms occur suddenly.In addition, if the symptoms fluctuate significantly during the day, such as the eyelid rises without any problems in the morning, but does not rise in the evening, severe myasthenia, one of the autoimmune diseases, is suspected.examination and diagnosis
If the upper eyelid is covered with the pupil while looking at the front, it is suspected that the eyelid is drooping.In the interview, it is confirmed when the symptoms started to occur, and whether or not the symptoms are innate is determined.For more information, we will examine the muscle function of the eyelids and examine the head with CT and MRI.If aging or long-term use of contact lenses is the cause, muscle function will deteriorate.In the case of nerve paralysis caused by cerebral infarction, CT and MRI tests show abnormalities.If severe myasthenia is suspected, a blood test was conducted.Because the disease occurs when the tissue (receptor) receiving information from the nerve is destroyed by the antibody, it is determined by whether the antibody is confirmed in the blood.treatment
Check if there are problems with visual functions such as narrowing of the field of vision and amblyopia, and if there is a possibility, both congenital and acquired surgery is performed.In the case of birth, surgery was performed to restore the muscle function of the eyelid.However, if it is not serious, there is no need to perform surgery in a hurry, and the patient waits for natural healing after observing the progress.If it does not improve to some extent, surgery will be performed.If the eyelid is acquired and mild, surgery is performed to make it easier to open the eyelid itself by shortening the muscles to lift the loose eyelid and restoring tension.If the patient is seriously ill, the patient should be treated by surgery to lift the eyelid using the muscles of the forehead.In the case of severe myasthenia, treatment is advanced by using a drug (immunosuppressive drug) that suppresses the production of antibodies that destroy receptors and a drug that enhances nerve transmission.In the case of cerebral infarction and other causes of ocular nerve paralysis, the original disease is treated, but the treatment may recover naturally, so we will wait and see for a few months.precautions after prevention/treatment
Although there are individual differences, the eyelids may swell for about a week after surgery.After a few months of complete recovery, the appearance becomes a natural double eyelid.If there is a difference between left and right, surgery may be performed again, so you need to observe the progress after surgery.
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