Ask the Experts
Eyelid Correction & Cancer Surgery
PTOSIS (eyelid droop surgery)
Ptosis is drooping of the upper eyelid that partially covers the pupil, caused by stretching of the tissues that support the upper lids, or by weakened muscles. This condition can cause a tired, older appearance and interfere with vision. Eyelid ptosis repair is a facial plastic surgery procedure to correct drooping upper eyelids.
What is ptosis ?
Ptosis is a term that refers to drooping of the upper eyelid that partially covers the pupil, caused by stretching of the tissues that support the upper lids, or by weakened muscles. This condition can cause a tired, older appearance and interfere with vision.
Eyelid ptosis repair is a facial plastic surgery procedure to correct drooping upper eyelids. Although more common among older adults, it can occur at any age. Ptosis can affect one eye or both eyes at the same time, and the degree can range from being barely noticeable to covering nearly the entire eye.
What are the symptoms of ptosis ?
The most common sign of ptosis is drooping eyelids. Depending on the severity of the droop, ptosis can also cause a decrease in vision. Many people with significant ptosis find they need to tilt their head back in order to see beyond the lid line. Ptosis can cause symptoms similar to another condition called dermatochalasis, a disease of the body’s connective tissues that also can cause drooping.
What causes ptosis ?
Ptosis may be congenital (present at birth) or it may develop later as a result of injury, aging or corrective eye surgery, including cataract surgery. Injury, degenerative changes or other issues with the facial muscles that raise the eyelids can also cause ptosis. Other causes include diabetes and other systemic diseases, neurological disorders and tumours.
How is ptosis treated ?
Ptosis can be treated with surgery that’s designed to tighten the facial muscles that lift the lids.
The procedure is performed with local anaesthetic. Depending on the surgical approach, incisions may be placed along the crease of the upper eyelid or on the inside of the lid. Tendons are tightened or muscles are shortened, and the incisions are closed with absorbable sutures. The procedure takes approximately 45 to 60 minutes per eye to perform.
Eyelid Ptosis or Excess Skin ?
When most people think of getting their eyelids lifted, what they are referring to is removing excess, sagging eyelid skin that might be so noticeable that the eyelid skin is resting on their upper eyelashes. The procedure to remedy that is called blepharoplasty.
Unlike blepharoplasty, eyelid ptosis repair addresses a weakness or stretching of the actual eyelid muscle, not sagging skin. (Ptosis comes from Greek and means falling or drooping). Eyelid ptosis is only used to describe upper eyelid drooping and not that of the lower eyelids. Upper eyelid ptosis can cause the eyelid to cover the pupil of the eye and obstruct vision.
entropion and ectropion surgery
- ENTROPION: Entropion affects the lower eyelid, causing the eyelid(s) to turn inward onto the surface of the eye. When this happens, the eyelashes and lid start to scrape against the eye, which creates severe pain. Entropion may also cause excess tear creation and red eyes because of the constant rubbing.
- ECTROPION: Ectropion happens when the lower eyelid turns too far outward. With this condition, too much of the eye’s surface and lower tissues are exposed. This can cause painful symptoms, which may include a continuous burning feeling, constant red-eye, and excess tear production.Entropion and ectropion are eye conditions that impact the health of a patient’s eyelid. Both of these conditions can create painful symptoms and may even damage your overall vision and ocular health. Patients who have these disorders suffer from an eyelid that goes inward or outward, which creates irritation and inflammation to the eye. Luckily, our expert oculoplastic consultants at the Shrewsbury Eye Clinic are very talented at performing complex treatments for entropion and ectropion. Additionally, we strive to provide tailored and specialized services that help address your issue and help you live a better life.
HOW IS EYELID REPAIR DONE ?
At Paragon Clinic, our ophthalmologists use a minimally invasive, oculoplastic surgical method to gently restructure the eyelid and restore its normal curvature.
Generally, the procedure takes an hour or less and under a local anaesthetic. Once your eyelid is completely numb, your eyelid is reshaped to help restore its natural curve and appearance. Some patients might require additional tissue removal to create the best outcomes. Entropion or ectropion eyelid reconstruction is a very personalized surgery that we tailor to meet your unique concerns and needs. It can create long-lasting results, which enhance your appearance, improve your overall eye health, and most importantly, your quality of living.
Styes and chalazion
Chalazion is an enlargement of an oil-producing gland in the eyelid called the meibomian gland. It forms when the gland opening becomes clogged with oil secretions. It is not caused by an infection from bacteria, and it is not cancerous.
What is the difference between a chalazion and a stye ?
A chalazion is sometimes confused with a stye, which also appears as a lump on the eyelid. A stye is a red, sore lump near the edge of the eyelid caused by an infected eyelash follicle. Chalazia tend to develop farther from the edge of the eyelid than styes.
How is a chalazion treated ?
About 25 percent of chalazia have no symptoms and will disappear without any treatment. Sometimes, however, a chalazion may become red, swollen and tender. A larger chalazion may also cause blurred vision by distorting the shape of the eye. Occasionally, a chalazion can cause the entire eyelid to swell suddenly.
Symptoms are treated with one or more of the following methods:
Warm compresses help to clear the clogged gland. Soak a clean washcloth in hot water and apply the cloth to the lid for 10 to 15 minutes, three or four times a day until the chalazion is gone. You should repeatedly soak the cloth in hot water to maintain adequate heat. When the clogged gland opens, you may notice increased discharge from the eye.
An antibiotic ointment may be prescribed if bacteria infect the chalazion.
A steroid (cortisone) injection is sometimes used to reduce inflammation of a chalazion.
If a large chalazion does not respond to other treatments or affects vision, your ophthalmologist may drain it surgically. The procedure is performed under local anaesthesia.
A chalazion usually responds well to treatment, although some people are prone to recurrences. If a chalazion recurs in the same place, your ophthalmologist may suggest a biopsy to rule out more serious problems.
EYELID CANCER SURGERY
Could It Be Cancer?
Don’t Ignore Eyelid Lumps and Bumps
If you have noticed areas around your eyes that have changed in appearance or sensitivity, please consult your doctor immediately or schedule an appointment at Paragon Clinic.
The skin around the eye is very thin, and the fact that it’s constantly exposed to sun damage makes it susceptible to skin cancer. Eyelid skin cancer mostly occurs on the lower eyelid in the form of basal cell carcinoma. Skin cancer, however, can develop anywhere on the eyelid margins or corners of the eye. Squamous cell carcinoma and melanoma can also appear, but these types of cancer are less common. Since we rely on this skin to protect the eyes, it is important to have an eye expert on your side. Mr. Sohraab Yadav is a highly skilled eyelid plastic surgeon whose extensive training and experience can be used to determine whether the eyelid lesion is cancerous. Together with his team at Paragon Clinic, Mr. Yadav will work with you to devise a treatment plan that improves your chances of restoring your eye health and function.
Risk Factors for Developing Eyelid Skin Cancer
It’s important to protect your eyes when stepping outside into the sun’s rays. A big hat and sunglasses, as well as sunscreen, can provide much-needed protection. Many people focus mainly on the larger areas of exposed skin and often forget about the skin around the eyes.
Symptoms are treated with one or more of the following methods:
Sun exposure is one of many factors that can predispose you to skin cancer. Other culprits include:
- Multiple sunburns in childhood
- Excessive UV exposure, from things like tanning beds
- A family history of skin cancer
The most common type of skin cancer is basal cell carcinoma. It accounts for 90% of all diagnosed skin cancer. Squamous cell carcinoma is a less common cause of skin cancer found on the eyelids. It is very rare for either of these skin cancers to metastasize. They typically grow slowly, but given enough time unchecked they can destroy tissues and nearby structures. Skin cancer can destroy the eyelashes and irritate the eye if it is constantly rubbing against it. Other patients present with a tumor that grows into the tear drain or even into the eye socket. In extreme cases, skin cancer may be impossible to remove if it has grown into deeper tissues. Fortunately, basal cell and squamous cell carcinoma are highly treatable, and the prognosis is good when the lesion is found early.
Catching and treating skin cancer early greatly improves the outcome. It is a good idea to have a specialist check any mole that you feel has changed over the last year. Unfortunately, most skin cancers are ignored because they present with few symptoms.
However, here are a few things to keep an eye out for:
- Basal cell carcinoma: a pearly shiny lump that keeps growing slowly
- Squamous cell carcinoma: a scaly red flaky patch of skin that won’t heal
Melanoma is a more serious form of skin cancer that can spread to other organs and be lethal. Due to the aggressive nature of this cancer, it is important to find and treat melanoma immediately. Luckily melanoma accounts for about 4% of all skin cancer cases, but its incidence is on the rise. It is important for people with a family history or significant sun exposure to be screened regularly.
The treatment options for eyelid tumours vary according to the tumour and include observation, incisional biopsy, excisional biospy, eyelid reconstruction, radiotherapy, chemotherapy, and exenteration.
The growth can also be removed by:
- Cryosurgery: destruction of abnormal tissue using freezing temperatures. Usually with liquid nitrogen.
- Electrosurgery: destruction of abnormal tissue with the application of heat. Usually an electric cautery source.
Why choose Paragon Clinic ?
Paragon clinic offers a wide range of oculoplastic surgery at affordable prices.
Mr. Yadav, a highly skilled consultant oculoplastic surgeon, will assess you for the most optimal treatment and the decision and surgery will not be left to junior doctors.