The eyes look "hard to open", which may be caused by ptosis.

There are such a group of people who never seem to wake up and are listless all day. Some people even have head tattoos because they try to keep their eyes open! Yes, this is a manifestation of ptosis, but it is not the most serious. The most severe ptosis can't even open your eyes.

1. What is ptosis?

Generally, ptosis can be divided into congenital ptosis and acquired ptosis. Blepharoptosis is the muscle dysfunction or loss of the upper eyelid skin, which leads to drooping, slightly covering some pupils, and more serious ptosis covering all pupils, affecting the normal visual field, and also leading to amblyopia. Moreover, people with ptosis usually look up before they can see things, thus forming a special gesture of looking up and frowning.

Second, how to judge whether you are ptosis?

1, measure the levator palpebrae muscle strength.

Normal muscle strength is13-16 mm.

2. The extent to which the upper eyelid edge covers the cornea.

Normal people's upper eyelid margin covers the cornea by 2mm, and it is mild below the level of 1-2mm; 3-4mm lower is moderate; Below 4mm and above are severe.

Third, what is the harm of ptosis?

1. Affect vision development

It is a kind of rest for the eyelids to cover the eyes for a short time, but if they are covered by drooping eyelids for a long time, the eyes will not be able to receive stimulation, thus affecting the development of vision. In addition, patients with ptosis always turn their eyes down when they see things. If this happens for a long time, the eyeball muscles will atrophy and even cause astigmatism and disuse amblyopia.

2. Affect the development of the spine

If the patient has ptosis, he will instinctively look up or shrug his shoulders because he looks at things for a long time, which is very unfavorable to the development of the patient's neck and spine.

3. Affect mental health

In order to see things clearly, children with ptosis usually have a special staring posture, which will make them find themselves different from other children. When children are old and sensible, they will feel inferior and even unwilling to communicate with others.

4. Accelerate skin aging

Eyelid drooping can easily lead to excessive opening of eyes, which can lead to wrinkles on the head and accelerate skin aging. Moreover, the upper eyelid covering the pupil will also block the field of vision, and severe ptosis is easy to cause deprivation amblyopia.

4. What is the best operation opportunity for ptosis?

1. Severe congenital ptosis

The upper edge covers more than 2/3 of the pupil. In order to prevent amblyopia, surgery should be performed as soon as possible, at least for 6 months. The general doctor will decide the operation time according to the child's condition.

2. Mild to moderate sagging

It does not affect the normal visual development of children, and the timing of surgery can be chosen at about 5 years old before school. About 3 years old is the best age for children to have blepharoptosis surgery.

3. ptosis with strabismus

Children with drooping eyes and abnormal myopia and hyperopia will have serious amblyopia. For such children, it is recommended to have surgery at 1 year old, mainly to treat amblyopia immediately after correcting ptosis, and the surgery should be carried out as soon as possible.

5. How to choose the correction method of ptosis?

1. When levator palpebrae superioris muscle is less than 4mm, frontalis muscle flap suspension or fascia lata suspension is selected.

2. When levator palpebrae superioris is greater than or equal to 4mm and less than 9mm, the levator palpebrae superioris shortening operation is selected.

3. When the muscle strength of levator palpebrae superioris is greater than or equal to 10mm, levator palpebrae superioris can be shortened and folded.

4. Conjunctival ptosis, the first choice is to separate and repair the aponeurosis of levator palpebrae, or meibomian-conjunctiva-Miller myotomy.