Patient: At the age of 5, he was involved in a car accident in which the glass of the headlight broke and lodged in his left eye, causing severe trauma to the left eye. at the age of 11, he underwent corneal transplantation at a local hospital, which resulted in post-operative rejection and soon afterwards, complications of glaucoma and graphea. Because of the persistent high intraocular pressure, the glaucoma gravidarum could not be effectively controlled and the cornea was cloudy with blue and gray, so at the age of 17, he had his left eye removed and a prosthetic table was implanted. It has been three years since the prosthetic eye was installed, and I am now wearing the prosthetic eye piece with good activity and stability in all aspects, but the left and right eyes are extremely asymmetrical, with a difference of more than five or six millimeters between the left and right eyelids and pupils. I would like to ask the doctor if it is possible to improve the asymmetry of the left and right eyes through revision surgery. How long does it take before and after surgery? How long will it take to recover after surgery to replace the prosthetic eye piece? Doctor: The eye problem you mentioned can generally improve the appearance through surgery. Because a gravid eye is large, it can compress the tissue around it to atrophy and even hold up the volume of the orbit larger than the good eye; it can also make the upper lid mildly droopy and the lower lid loose and drooping because of the protruding eyeball for a long time. These problems are more pronounced after removal of the eyeball implant, as the eyeball is not as prominent and the upper and lower eyelids appear more lax and weak instead, and the prosthetic eye falls. There may also be problems with the upper eyelid collapsing and not being full. The position of the eyelids can be improved with surgery, but there may be poor eyelid closure after upper eyelid surgery. The stitches are removed one week after eyelid surgery (without hospitalization), and a prosthetic eye can be fitted two or three days afterwards. Patient: Thank you for your detailed analysis of my affected eye. I understand why my left eye came bigger than my right eye before surgery, but was much smaller afterwards; I understand why my eyes, and even my eyebrows and face shape, look asymmetrical. In addition, I’ve read about the possibility of poor eyelid closure after ptosis surgery in your article. The inability to close should slowly get better three or four months after the surgery, right? Doctor: Atrophy or enlargement of the eyeball at an early age (such as corneoscleral chyloma) can affect the development of the tissues around the eye, the orbital bone and even the affected side to a greater or lesser extent. As for incomplete eyelid closure after ptosis surgery, after three to six months of recovery, some patients will still have gaps, especially noticeable during sleep. This incomplete closure is related to the degree of eyelid ptosis prior to surgery, and the more severe the ptosis, the greater the potential for postoperative incomplete closure.