Talk about incomplete eyelid closure after ptosis surgery

Many patients struggle with the possibility of incomplete eyelid closure after ptosis correction, worrying that it may affect their sleep, scare people when they sleep with their eyes open, or cause keratitis, etc. These concerns are understandable. Some patients require both correction of ptosis and complete eyelid closure after surgery, which can be very difficult for our doctors. Because most ptosis patients have abnormal function of the levator muscle (or poor neuromuscular development), surgery cannot restore the function of the muscle, but can only mechanically lift the upper eyelid, and once it is lifted to its normal position, it cannot close well, which should not be difficult to understand. The degree of postoperative incomplete closure depends on the degree and duration of eyelid elevation after surgery. The more you lift the eyelid, the more severe the incomplete closure will be. When the sutures are removed a week after surgery, the incomplete closure is usually reduced, but it is still necessary to order more eye ointment before going to bed. If the incomplete closure is still serious, it is best to lift the lower eyelid upward with a piece of tape, which is applied to the forehead to narrow the lid fissure. After a period of care in this way, the gradual closure irregularities will be reduced, especially in patients who have had surgery on the levator muscle, most of which can be closed, only a few may have a 2-3 mm closure irregularity, and patients who have had frontalis suspension generally have only a small gap, in which case, if the eye itself has Bell’s sign (that is, the eye turns upward when closed), the cornea can be covered by the upper lid and generally The chance of keratoconus is very small. This is indeed a rare occurrence in my long clinical practice. Therefore, ptosis patients do not need to worry too much about postoperative lid closure, because it is more important to be healthy and beautiful than to have incomplete closure.