We perform a full ophthalmic examination to check visual function, eye movement, the eyelids and the ocular surface. Then we perform a full face examination. It is common for us to also take photographs.
We assess the surface of the eye and the lids using a slit lamp. We may use drops to dilate the pupil, whilst the surface of the eye is checked for signs of dry eye. Occasionally, we may find it necessary to order a visual field test to check if the vision is impaired.
The only permanent way to treat eyelid ptosis is with surgery. There are several possible surgical techniques.
Usually, eyelid ptosis is treated with a single incision, hidden within the skin creases of the upper eyelid. When the incision is made, we can also remove excess amounts of drooping skin, should this be necessary. This surgery is called a blepharoplasty.
Posterior Eyelid Incision
In some cases, we can achieve the same outcome with a conjunctival incision on the reverse surface of the eyelid. The conjunctiva is the inner layer of the eyelid. If the eyelid ptosis is corrected via an incision in the conjunctiva, we can simultaneously excise any excess skin folds with a blepharoplasty.
Occasionally, we will use eye drops to help rectify upper eyelid ptosis. However, these will only last for a few hours. You must not use drops without first having an examination by your Ophthalmologist.
We can lift the upper lid so vision is no longer impaired. The eyes and eyelids look younger, with tighter and softer skin, are more open, with better eyelash position, fewer wrinkles and fewer visual problems.