Aunt Chen said that about five years ago, she gradually felt that her right eye was not very open. At first, she could open her eyes slightly by raising the eyebrows on her forehead, but it was not only laborious, but also her facial expression was always in a state of "surprise". Later, it was useless to force the forehead quickly, leaving behind the sequelae of compensatory phenomena such as eyebrows rising and forehead wrinkles, and the facial expression has been in a state of "surprise".
She used to lie prone, but because she couldn't open her eyes, her eyesight was greatly affected and her movements were limited. Her family took her to see a doctor, cut her eyelids, tried Botox or treated with autologous platelet plasma (PRP) eye drops, and there was no improvement. In desperation, she still had to maintain a normal life, and unexpectedly found that the elastic band of the hat could catch her eyelids. In addition to sleeping, she also wears a hat to do cooking and other activities.
The reason why eyelids can't be opened
Hao Zhihua pointed out that there are congenital and acquired reasons why eyelids can't be opened, among which acquired is related to eyelids or eyelid muscles, and eyelid relaxation is a skin-related problem, which can be effectively improved by eyelid plastic surgery such as cutting double eyelids. Myasthenia gravis with abnormal nerve conduction in eyelid muscles can be treated by taking medicine in internal medicine, and the problem of eyelid muscle weakness in surgery must be treated by orthopedic surgery.
He explained that Aunt Chen's muscle nerve conduction is normal, but apart from the problem of eyelid relaxation, the main focus is the serious dysfunction of the two main muscles of the upper eyelid due to aging: levator muscle and Muller muscle (most people only have problems with levator muscle), which leads to her inability to open her eyes and tears. Just cutting double eyelids can't improve it.
During the operation, Hao Zhihua helped Grandma Chen correct the wheelbase of the upper eyelid muscles. After the operation, grandma can open her eyes immediately on her own. As for the compensation phenomenon of eyebrow lifting, it can be gradually improved after cooperating with eyelid rehabilitation exercise.
Avoid bad habits from hurting upper eyelid muscles.
Hao Zhihua said that levator oculi is as thin as tissue paper, while Muller's muscles are like filaments. If the two muscles are adjusted for too long, the problem that the eyes can't be opened can't be effectively improved. If it is too short, the eyes can't be closed, which will further damage the cornea, which is more harmful than opening eyes. It is recommended that patients carefully choose doctors who have been trained in this specialty.
Hao Zhihua reminded that muscle aging, frequent rubbing of eyelids with contact lenses, or excessive use of 3C products without rest may damage the muscles of the upper eyelid and lead to drooping. Mild symptoms may just look sleepy and listless, and unilateral occurrence will turn into large and small eyes. If it's serious, it's like aunt Chen can't open her eyes. Remind people to rest moderately and avoid rubbing their eyes hard to hurt the muscles of the upper eyelid.