Ptosis is a common eye disease. The main symptoms of ordinary patients are weakness of eyelids and dull eyes, which seem not to open. Some patients may have symptoms of eye edema, and there are many treatments, most of which are surgical treatment. Then, how should the general ptosis be treated better?

1, what is ptosis?

In medicine, blepharoptosis is a disease in which the upper eyelid cannot be raised because the muscle strength of levator palpebrae superioris decreases or is insufficient, partially or completely covering the eyeball. Blepharoptosis is harmful, which will have an important impact on the patient's appearance at first. Eyelid drooping will give people around them a feeling of listlessness, which will seriously affect their personal temperament and have a negative impact on study, life and interpersonal communication. In addition, congenital ptosis will also cause eye diseases such as amblyopia due to long-term occlusion of the eyeball, thus affecting vision. Therefore, once ptosis is diagnosed, it should be treated in time.

2. How to judge the inspection

Ptosis is one of the important signs in the diagnosis of ptosis. In addition, patients with ptosis have several characteristics. First, the forehead wrinkles are obvious. Unable to open their eyes, patients often open their eyes by lifting their foreheads. Over time, they will develop the habit of lifting their foreheads and opening their eyes, forming deep forehead lines. Secondly, it can be judged by inspection. Let the patient close his eyes first, the examiner holds his eyebrows with his thumb, and then let him open his eyes. If he can't open his eyes at this time, he can be diagnosed as ptosis.

3. Do double eyelids still need to be corrected?

A large proportion of patients with ptosis are mild ptosis. This kind of patients often feel that their eyes are not big at ordinary times, and they want to open their eyes through double eyelid surgery, but they don't know that they are mild ptosis. Because of the weakness of levator palpebrae superioris, if only double eyelid surgery is done, the folds of double eyelids will be shallow after operation, which will affect the appearance and fail to achieve the expected purpose of opening eyes before operation. Therefore, it is necessary to correct ptosis at the same time of double eyelid surgery, so as to obtain better therapeutic effect.

4. Treatment and nursing of ptosis

At present, the treatment of ptosis is mainly through surgical correction, plastic surgery in Chang 'an Hospital, and the perfect plastic surgery technology in craniofacial surgery in Xijing Hospital of the Fourth Military Medical University. Professor Lu Binglun is personally in charge, which has realized a complete set of diagnosis and treatment system from preoperative evaluation to surgical correction to postoperative nursing follow-up, and can formulate the most suitable treatment plan for different types of ptosis.

It is worth noting that in the treatment of ptosis, postoperative care is a very important link in the whole treatment process, which requires the active cooperation of patients' families. The main nursing content is to take eye drops and ointment to care for the eyeball within 2 ~ 3 months after operation to prevent the eyeball from drying out.

The treatment of ptosis is a comprehensive operation, which requires the surgeon to have a very high technical level. Only by choosing professors with many years of experience and qualified hospitals can we achieve the perfect effect of medical beauty and plastic surgery.

5. Causes of drooping eyelids

1, physiological factors

With the increase of age, the skin tissue above the eyes will become more and more relaxed, and the eyelids will hang down quietly. This is a normal physiological phenomenon, everyone will experience such excessive aging.

2. Congenital factors lead to blepharoptosis

After birth, the eyes don't open, because the oculomotor nerve branch passes through the levator palpebralis muscle or oculomotor nerve nucleus, which leads to the lower edge of the upper eyelid covering the upper edge of the cornea excessively, thus making the eye fissure of the sick eye appear smaller than that of the normal eye. This kind of ptosis has certain heredity.

3. Small stroke

Sometimes, drooping eyelids may be a sign of minor stroke. If you feel numbness and fatigue in your face, hands and feet, or have a tingling sensation of acupuncture, you'd better see a doctor as soon as possible, because this symptom is a warning signal and must be dealt with immediately. The occurrence time of minor stroke is very short, ranging from 30 seconds to 24 hours, and the symptoms of 90% people last less than 2 hours. Patients with hypertension, high cholesterol and diabetes are at high risk. Therefore, when the eyelids droop, don't take it lightly.

4. Diabetes

If the elderly suddenly find one eyelid drooping, and often feel pain in the supraorbital region of the affected side, or see double images, they have not improved after injection of drugs, and accompanied by elevated blood sugar, it is likely that they have diabetes.

5, brain stem lesions

If one eyelid droops, the pupil is dilated, and the other upper and lower limbs are numb and weak, it may be a brain stem lesion. Children often have brain stem tumors, and the elderly are more common in brain stem angiopathy.

6, myasthenia gravis

If ptosis occurs slowly, the symptoms of both eyes are tandem, and it is light in the morning and heavy in the evening, and there is obvious fluctuation within one day, then it is very likely that you have myasthenia gravis.

7.intracranial aneurysm

Intracranial aneurysms can cause eyelid drooping, which is also unilateral. Suddenly, its pupils often dilate. If accompanied by severe headache, vomiting, convulsions, coma, etc. It is probably subarachnoid hemorrhage caused by ruptured aneurysm, which should be rescued by neurology department immediately.

8. Horner syndrome

If only one eyelid droops, the same side does not sweat under any circumstances. At this time, the pupil of the eye shrinks, the eyeball retreats and the iris changes color. At this time, it is likely to have Horner syndrome. The cause of this disease is severe facial nerve injury, which may be head and neck injury, brain tumor, spinal cord lesion and so on. , or lung cancer.

9. Systemic diseases

Unilateral blepharoptosis may also be caused by systemic diseases or ganglion diseases, such as tumors and infections, which need timely treatment.