Sometimes, because of age-related looseness affecting a different part of the eyelid, the lower eyelid turns inward, causing the eyelashes to rub against the eyeball called (a) entropion, or the lower eyelid turnoutward called (b) ectropion. With age, some involutional changes of the lid will lead to droopy eyelid or ptosis.

Eyelid Disorder

Droopy Eyelid (Ptosis) Surgery

This type of surgery is performed to correct the droopy eyelid/eyelids. Droopy lid condition can be present since birth (congenital) or acquired later in life. As there are many causes to ptosis, the doctor will first determine the cause and advise for the appropriate management.

Once deemed suitable for surgical correction, ptosis surgery will then be explained in detail. If the levator muscle function is poor, ptosis surgery will have to be done with the assistance of an autograft, commonly fascia lata from own patient’s thigh or a synthetic material such as silicone rods.

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Entropion Surgery

This is the surgery done to correct eyelids that have turned inward. It may present at birth or more commonly as a result of aging. It can also be due to injury, burn, chronic inflammation or infection and previous surgery.

Depending on the cause and severity, entropion surgery will reposition and restore the normal anatomy and function of the eyelids.

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Epiblepharon Surgery

This type of eyelid condition is mostly present as a result of developmental disorder. It is characterized by redundant fold of skin and hypertrophied muscle overriding the eyelid margin. This results in misdirected lashes towards the cornea and conjunctiva. However, a smaller proportion can be due to conditions like obesity, thyroid eye disease and other causes of bulged eyes.

Surgery is performed when symptoms & signs are persistent and troubling.

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Upper & Lower Blepharoplasty (eyebags) Surgery

With advancing age, we expect to see some natural changes in our body and the eyelids are not spared. The eyelid skin gradually begins to lose its elasticity while facial fat and bone reabsorb to result in decreased volume. These changes will cause heaviness of the upper eyelid, fat prolapse in the upper and lower lids, wrinkling and thinning of the periocular skin. To a certain extent, these changes may trouble daily activities especially reading and driving as the field of vision has contracted.

Upper or lower blepharoplasty is a type of surgery that will alleviate these problems. It will remove and tighten excess eyelid skin and redistribute fat. This helps to improve not only the appearance but the vision by eliminating the obstructed field of view.

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Brow Ptosis (fallen eye brow) Surgery

Fallen eyebrow is usually due to the ageing process, where it involves the descent of the eyebrow and deflation of the periorbital soft tissues. Typically, it affects the outer third of the brow first. Brow ptosis can also occur as a result of paralysis or weakness of the frontalis muscle e.g. in facial nerve palsy.

Surgery is performed to reposition the brow back to its natural position. This will indirectly lift and reduce the extra skin that hangs down on the upper eyelid.

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Ectropion Surgery

This is the surgery done to correct eyelids that have turned outward. It may present at birth or more commonly as a result of aging. It can also be due to injury, burn, chronic inflammation or infection, tumour mass and previous surgery.

Depending on the cause and severity, entropion surgery will reposition and restore the normal anatomy and function of the eyelids

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Eyelid Tumour Surgery

Like any other parts of the body, tumoural mass can also occur on the eyelids. Distinguishing between a benign tumour and a malignant tumour is most important as the surgical management differs. Given the limited eyelid surface area to work with, careful surgical plan is essential. Eyelid defects will then be managed by eyelid reconstruction. This will ensure the anatomical and physiological aspects of the eyelid are restored.

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Meet our specialist

Dr Nazila Ahmad Azli

Designation

Consultant Ophthalmologist and Oculoplastic, Lacrimal & Orbital Surgeon

Specialty

Ophthalmology, Oculoplastic Surgery

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