Eyelids are the skin tissue around the eyes, which have a great impact on the health and appearance of the eyes. The upper eyelid is a part that is more prone to problems. It can easily lead to image problems and increase the worries of people who love beauty. For example, unilateral ptosis is a common phenomenon in life. It can cause eye disharmony and affect the image of the eye. Is the probability of unilateral ptosis being inherited high? Severe upper eyelid ptosis may be passed on to children, with a probability of about 30%. Congenital ptosis is often bilateral and hereditary, either dominant or recessive. The main reason is due to incomplete development of the oculomotor nerve nucleus or incomplete development of the levator palpebrae superioris muscle. The former is often accompanied by other extraocular muscle paralysis or epicanthus besides ptosis, while the latter is usually simple ptosis. Life care: Pay more attention to children's eye problems in the future. If the upper eyelid margin covers more than 1/2 of the pupil, surgery should be performed as soon as possible to prevent amblyopia. Congenital ptosis is a common hereditary disease in ophthalmology clinic. Its prevalence rate is close to 0.1%. It is autosomal dominant and if you have a direct relative with the disease, the probability of inheritance is much higher than the prevalence rate in the general population, so your child may inherit it. But it is not 100% hereditary, and the probability is hard to say. If it is really hereditary, timely surgery can be performed. The treatment of droopy eyelids should be based on different causes and different treatment methods. For those with congenital ptosis, surgical correction is quite effective, while those with acquired ptosis should be treated according to different causes. It is recommended that cases such as muscular dystrophy, complete ophthalmoplegia or diplopia after eyelid lifting should not be corrected surgically. Myasthenia gravis generally should not be corrected surgically. If it is limited to the eyelids and drug treatment is not ideal or unacceptable, surgical correction can be considered. Correction of ptosis: levator palpebrae superioris muscle shortening surgery After countless improvements by surgeons, the current surgical methods have changed a lot and can be roughly divided into transconjunctival incision (internal incision method) and transcutaneous incision (external incision method) or combined conjunctival and skin incision methods. It is suitable for patients with bilateral or unilateral mild or moderate congenital ptosis, and whose levator palpebrae superioris muscles still have partial function (the strength of the levator palpebrae superioris muscles is 5 mm or more). It can also be used for acquired aponeurotic ptosis. |
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