Key points of post-operative treatment care for patients with ptosis

  The postoperative follow-up treatment and care is very important, and improper care can have serious consequences that we hope patients and parents of children with ptosis will take seriously.  In the early postoperative period, patients often have varying degrees of eyelid closure, especially during sleep when the cornea is constantly exposed, which can lead to exposure keratitis or even corneal ulceration if not properly cared for, and if not treated in a timely manner, the ulcer may deepen and leave a permanent corneal opacity that can seriously affect vision.  After surgery, a traction suture, which we call the Frost suture, is sewn into the lower lid of the operated eye. Every day, a moisturizing eye ointment is applied to the corneal surface at bedtime, and then this suture is pulled and taped firmly above the eyebrows so that the lower lid can completely cover the cornea for the purpose of protecting it. The sutures can be removed after 1 or 2 weeks postoperatively. After removal of the sutures, eye ointment should be applied every day before bed until the eyelid is basically closed and the cornea is not exposed.  Because of the relative reduction of transient eye movements after surgery, it is easy to have dry eyes and discomfort, so you can order artificial tears 4-6 times a day. You can also do functional training to open and close the eyes to maintain the flexibility of eyelid movement.  About postoperative vision examination and treatment Ptosis often affects the patient’s vision to some degree, especially in young children during the visual development period, due to the degree of compression of the upper lid on the patient’s cornea and the occlusion of the pupil. Post-operative vision examination, correction and amblyopia training are very necessary. Generally, children with amblyopia can undergo appropriate examinations, such as dilated pupil examination, lens prescription and amblyopia training, at the amblyopia specialist in the ophthalmology department 2-3 weeks after surgery. Parents can teach their children to recognize the visual acuity chart at home so that they can better cooperate with the examination and treatment, and it is very important to correct amblyopia before the age of 6 years old.  About review We generally recommend patients to come for review once in 2 weeks, 4 weeks after surgery, and then once in one month, three months, six months and one year, but if you find eye redness, photophobia, tearing and eye pain during the period, you should come to the hospital for review as soon as possible, so that problems can be detected and dealt with in time and no serious problems can occur. However, many patients are out-of-town patients, and it is inconvenient to make multiple trips. In this case, I suggest patients to make regular follow-up visits on the website, sending post-operative photos and communicating about their main eye symptoms and medications, so that doctors can understand their condition and adjust their medication regimen.  Good post-operative doctor-patient communication, treatment and care are crucial to the treatment of ptosis! Good surgical results are due to your attention and dedication, in addition to the efforts of your surgeon!