Examination is very comprehensive, assessing the entire socket, the eyelid position, orbit volume, conjunctival lining etc. The patient’s whole face is also examined.
Before and after an oculoplastic procedure it is common to take photographs.
PESS examination may also include some special measurements such as the palpebral aperture, the elevator muscle function, eyelid laxity etc. Theses are done simply with a light and a ruler. Sometimes a CT scan or MRI of the orbit is required.
Depending on the problem, different treatments are offered:
- For inflammation of the socket, treatment is usually done with drops and ointment over the course of a few days or weeks. If the prosthesis is old or does not fit properly into the socket it may require a polish or a replacement.
- For blepharoptosis, you may need a ptosis operation
- If the main concern is sunken appearance of the prosthesis, we can add some volume into your orbit and periocular area to improve it. This can be done via dermis-fat graft or autologous fat transfer, both conducted under general anaesthetic.
- If the main problem is eyelid laxity and the prosthesis falling out, it may be necessary to tighten the eyelids. The most common techniques to do this are the lateral tarsal strip and the lateral/medial canthopexy. ￼