Sometimes eyelid lesions are the early manifestations of systemic diseases, such as non-inflammatory edema of the upper eyelid in patients with nephritis; Herpes simplex will appear in the eyelids when you have a cold; When the facial nerve is paralyzed, the eyelids can be incompletely closed or convulsive. However, most of the lesions are caused by the spread of itself or adjacent tissues, and the lesions of eyelid itself can also spread to eyeball, orbit, skull and even the whole body.
Eyelids are vulnerable to trauma, manifested as edema, congestion or rupture. Inflammation is the most common eyelid lesion, especially glandular inflammation. Eyelids are also prone to tumors. Common benign tumors are hemangioma, xanthoma and pigmented nevus. The small ones don't need treatment, and the big ones can be removed by laser, freezing or surgery. Malignant tumors are mainly meibomian adenocarcinoma, squamous cell carcinoma and basal cell carcinoma. These tumors only show hard masses in the early stage, so they are often confused with chalazion, especially the elderly should be especially vigilant, and they should be surgically removed as soon as possible and sent for pathological examination.
Congenital abnormalities of eyelid are mostly epicanthus and epicanthus of lower eyelid, which are curved skin folds of inner canthus, extending downward from upper eyelid, mostly bilateral. The former can cause false esotropia; The latter can produce trichiasis, and those who are mild can be followed up, and those who are severe need surgical correction. Epicanthal epicanthus is also seen in congenital stupidity.
Styloid process/needle eye styloid process, also known as needle eye and blepharitis, is an acute suppurative inflammation of sebaceous gland or meibomian gland near eyelash hair follicle. Meibomian is divided into inner and outer types, which is a common purulent inflammation of eyelid glands.
The cause of sty is that there are two kinds of glands in eyelid, sebaceous glands at the root of eyelashes, which open in hair follicles; Another meibomian gland buried in the meibomian near the conjunctiva is called meibomian gland, which opens at the meibomian margin. The stem is an acute suppurative inflammation of these two glands. Staphylococcus aureus is the most common bacterium that causes sty.
The symptom of sty is 1, local swelling and heat pain of eyelid skin, and edema of adjacent bulbar conjunctiva.
2. When pus accumulates locally, a yellow pus head appears, and the sebaceous glands at the root of eyelashes appear exogenous sty, which is manifested on the skin surface; The inner meibomian gland has inner meibomitis, which is manifested on the conjunctival surface. The pain was relieved and the redness subsided after pus rupture.
3. In severe cases, there are large and tender lymph nodes in front of the ear and under the jaw, and the whole body is cold and hot.
Treatment and nursing of sty 1, early wet and hot compress or rotating magnetic therapy
Promote penetration and absorption or induration and rapid suppuration.
2. Surgical incision
When inflammation is controlled and pus accumulates to form a sense of fluctuation, pus can be cut and discharged, and necrotic or granulation tissue can be properly cleaned. Drainage strips can be placed according to the situation. After the inflammation subsides, if there is still residual granulation tissue or induration, it can be surgically removed again. However, it should be noted that the skin incision of the external sty should be parallel to the eyelid margin, and the conjunctival incision of the internal sty should be perpendicular to the eyelid margin. Don't squeeze it improperly, lest the inflammation spread to the orbit and skull, causing orbital cellulitis, cavernous sinus phlebitis, meningitis, abscess and life-threatening.
3. For stubborn and frequent cases.
Autoimmune therapy can be used. Patients with systemic fever and swollen lymph nodes in front of the ear and submandibular can be treated with antibiotics.
4. Nursing of pigsty
Nursing method: When the sty just rises, the following methods can be adopted.
(1) You can wet compress with a clean hot towel, each time 15 minutes, three times a day.
(2) A line can be tied to the root of the middle finger on the opposite side of the child's eye, that is, when the child's right eye is sick, it is tied to the root of the left index finger and the left eye is sick. Be careful that the thread is not too tight, so as not to affect the blood circulation of the child's fingers.
(3) Apply eye ointment or eye drops to the affected area.
(4) When the abscess matures and the small abscess spontaneously ruptures, wipe the pus with sterile gauze; The big one needs to go to the hospital for incision and pus discharge. Apply antibiotic eye drops or eye ointment after pus comes out.
Prevention of sty 1, always keep your eyes clean, and don't wipe your eyes with unclean hands, towels, handkerchiefs and other items.
2, blepharitis, conjunctivitis or trachoma should be treated in time.
3. Chronic diseases such as diabetes, multiple furuncle and carbuncle, tuberculosis and tonsillitis should be treated in time.
4. Myopia, hyperopia and astigmatism should be corrected with glasses in time.
Chalazion chalazion is a chronic inflammatory granuloma of meibomian gland, which is formed on the basis of obstruction of meibomian gland discharge pipeline and secretion retention. Also known as meibomian gland cyst. This is a common disease that can affect children and adults. The disease progresses slowly and can occur repeatedly. Hard lumps can be touched on the eyelids, but there is no pain, and the surface skin bulges. When the disease occurs in the elderly and tends to recur, it should be differentiated from meibomian adenocarcinoma.
The reason of chalazion is that the discharge pipe is blocked and the secretion of meibomian gland is retained, which eventually leads to chronic inflammatory granuloma of meibomian gland.
Symptoms of chalazion 1, slow course of disease, generally no obvious symptoms, no pain in the eyes, sometimes only a heavy feeling, which may cause temporary astigmatism due to the tumor pressing the eyeball, or foreign body sensation due to the tumor pressing the eyeball.
2. One or several round lumps of different sizes can be felt under the eyelid skin, ranging from rice grains and mung beans to soybeans and cherries. Smooth surface, non-sticky skin, clear edge and no tenderness.
3. Turn your eyelids. When the mass is on the conjunctival surface, purple or gray-red localized protuberance can be seen. If there is a secondary infection, it can evolve into a sty.
4. Small lumps can be absorbed completely by themselves, or they can pierce the conjunctiva surface by themselves, and discharge the gelatinous contents to form mushroom-like granulation hyperplasia. This granulation tissue can also form papillary hyperplasia on the surface of meibomian gland through the discharge pipeline.
Treatment and nursing of chalazion 1. Early chalazion can promote dissipation and absorption through hot compress, physical therapy and massage therapy. Small cysts do not need treatment.
2. Injecting 0.3 ~ 0.5 ml of prednisolone around or in the cyst can promote its absorption.
3. Large chalazion can be surgically removed. The cyst wall must be removed during the operation to prevent recurrence.
Prevent chalazion 1, avoid partial eclipse, eat more fibrous foods such as vegetables and fruits, drink more water, abstain from all kinds of soups (including soup soaked with rice and rotten rice), eat less sweets, and avoid eating too many greasy, fried and other high-energy fat (milk) drinks and irritating foods.
2, pay attention to eye hygiene, keep your eyes clean, don't rub your eyes with dirty hands.
3. Pay attention to the law of rest and life to avoid eye fatigue for a long time.
4. Actively treat chronic eye diseases, such as conjunctivitis and keratitis, if any. Correct myopia, hyperopia or astigmatism in time.
5, children are generally stubborn, pay attention to children's psychological counseling, avoid impatience and irritability, and can not blindly meet all children's dietary taste requirements.
Blepharitis blepharitis refers to a chronic inflammation that occurs at the edge of eyelid. According to its clinical characteristics, blepharitis can be divided into three types: scaly, ulcerative and blepharitis.
Etiology of blepharitis;
Etiology: ① The meibomian gland is exuberant, sebum overflows, combined with mild infection, such as Pityrosporum ovale, which can decompose lipids into irritating fatty acids.
② ametropia, asthenopia, malnutrition or irritation of inferior cosmetics are also common causes.
Ulcerative blepharitis
Etiology: Chronic or subacute suppurative inflammation of eyelash hair follicle and its accessory glands caused by Staphylococcus aureus.
Eyelid blepharitis
Etiology: It is caused by the infection of Aeromonas, and may also be related to riboflavin deficiency.
Symptoms of blepharitis 1, burning sensation, itching and tingling in eyelids;
2. People with scales have red eyelid edges, and scales or scabs can be seen at the root of eyelashes; Eyelashes are easy to take off and can be regenerated; Ulcerative patients have hemorrhagic ulcers and pus, long-term cilia hypertrophy, cilia baldness or messy eyelashes; Corneal canthus skin is soaked or eroded, often accompanied by conjunctivitis.
Treatment, nursing and treatment principles of blepharitis
Pathogen treatment, keeping local cleanliness, local antibiotic treatment and symptomatic support treatment.
Medication principle
1. Early mild cases are mainly topical eye drops, eye ointment and other auxiliary drugs.
2. Patients who can't be cured and relapse for a long time can choose effective drugs according to bacterial culture and drug sensitivity test (pay attention to whether they have diabetes).
3, eliminate incentives: if there is ametropia optometry glasses.
Prevention of blepharitis 1. The most important thing to prevent "bad eyes" is to pay attention to developing good hygiene habits. Don't rub your eyes with your hands, don't wipe your eyes with unclean things, and don't use eye drops used by others. When you wipe your eyes, you must use a clean handkerchief. The handkerchief should always be ironed in the sun.
2, but also pay attention to remove all kinds of factors that stimulate the eyes and correct ametropia in time.
3. Avoid staying up late for a long time, pay proper attention to nutrition and enhance physical fitness. If there are chronic diseases, you should actively treat them at the same time.
4. Quit smoking and drinking, and eat less spicy food.
5. Avoid mental stress. If you are in a tense situation for a long time, the nervous system and endocrine system are disordered and the immune function is low, which is easy to induce blepharitis or aggravate the condition.
Trichiasis refers to the abnormal condition that eyelashes grow backward and touch the eyeball. Trichiasis is a common external eye disease in children, adolescents and the elderly, mainly because of the abnormal growth direction of eyelashes. Eyelashes with abnormal growth direction, especially those growing backward to the corneal surface, not only often rub the corneal epithelium, causing foreign body sensation, fear of light, tears and other symptoms, but also cause eyeball congestion, conjunctivitis, corneal epithelial shedding, keratitis, corneal pannus, corneal ulcer, corneal leukoplakia and so on, further affecting vision.
There are two main reasons for trichiasis, trichiasis without entropion and trichiasis with entropion. Eyelid entropion will definitely cause trichiasis, but trichiasis is not always accompanied by eyelid entropion, and trichiasis can exist alone. Eyelid entropion refers to the abnormal state that the eyelid edge rolls inward in the direction of eyeball.
1. Children and adolescents are mainly caused by abnormal eyelash growth direction, overgrowth of lower eyelid, sometimes overgrowth of lower eyelid with epicanthus and congenital entropion.
2. Middle-aged and elderly people are mainly eyelid conjunctival inflammation and eyelid margin scar contraction, as well as entropion caused by various reasons.
Symptoms of trichiasis When examining trichiasis of the lower eyelid, ask the patient to look down to find out whether the eyelashes touch the cornea. Afraid of light, unwilling to cooperate with flashlight or slit lamp inspection.
complication
1. Conjunctivitis: Conjunctivitis is difficult to cure because eyelashes repeatedly stimulate the conjunctiva and cornea, and it is often prone to recurrent attacks, with tears and secretions. When conjunctival inflammation recurs and does not heal for a long time, some patients have conjunctival scar and a few have local symblepharon.
2. Corneal changes: trichiasis can cause punctate or diffuse corneal epithelial injury, corneal epithelial shedding, superficial corneal opacity, corneal pannus, corneal epithelial keratinization, corneal ulcer and corneal leukoplakia, which will further affect vision.
3. Others: In addition to corneal lesions affecting vision, trichiasis sometimes causes astigmatism and affects vision. If children have obvious astigmatism, a small amount can also cause amblyopia.
Treatment and nursing of trichiasis. For infants and children:
Mild patients can heal themselves with age. Surgery can be considered when eyelashes seriously stimulate corneal tears. Suture correction can be used for younger children, and partial resection of lower eyelid skin and orbicularis oculi muscle can be done for severe entropion.
2. Adults:
For a few adults with local trichiasis without entropion, the common treatment methods are as follows:
① Removal method: When the number of trichiasis is small, it can be removed directly with eyelash tweezers, but because the eyelash hair follicle is not damaged, it is easy to recur within a few weeks. The regrown eyelashes will be thicker and harder, which will irritate the cornea.
② electrolytic method: it takes many times to destroy the hair follicle and pull it out, and the success rate is about 10 ~ 20%.
③ Cryotherapy: relieve numerous trichiasis. Potential complications include depigmentation of skin, incision of eyelid margin after operation, injury of meibomian gland and influence of tear film stability.
④ Laser treatment: Laser separation is effective for a few scattered trichiasis.
⑤ Surgical removal of hair follicles: Hair follicles can be removed under a microscope; If the number of trichiasis is large, wedge resection or anterior laminectomy can be used, which is effective for local tufted trichiasis that cannot be treated by other methods.
3, a large number of trichiasis with eyelid inversion:
① Upper eyelid catgut embedding method to correct ciliary inversion: It is suitable for young patients with mild ciliary inversion with thin upper eyelid skin, no slack, less subcutaneous fat and inconspicuous epicanthus.
② Correction of entropion and trichiasis with lower eyelid suture and pressure tube: it is suitable for partial congenital entropion, spastic entropion and degenerative entropion.
③ Cutaneous orbicularis oculi muscle resection: it is suitable for teenagers with lower eyelid vegetation and elderly people with partial degenerative entropion cilia.
④ shortening of orbicularis oculi muscle: it is suitable for degenerative varus.
⑤ Wedge resection of tarsal plate: trichiasis caused by cicatricial entropion, and partial hypertrophy of tarsal plate was surgically removed.
⑥ tarsotomy: It is suitable for cases where eyelid deformation and hypertrophy are not obvious.
⑦ Incision of gray line of eyelid margin: it is suitable for patients with inconsistent degree of entropion or patients with partial trichiasis that cannot be completely corrected by other surgical methods.
There is no special preventive method for trichiasis. Paying attention to the health of the eye surface, attaching importance to the appendages of the eye surface, and caring for the eyelashes and eyelid edges when women make up can reduce the occurrence of trichiasis and trichiasis to some extent. At the same time, pay attention to the cleanliness of the eyelid edge, and do not rub your eyes with your hands, which can also prevent other eye complications.
Eyelid entropion refers to the abnormal eyelid position, especially the eyelid edge curling towards the eyeball. Entropion is often accompanied by trichiasis, but trichiasis does not necessarily have entropion. Entropion can be divided into three categories: congenital entropion; Spastic entropion; Cicatricial entropion.
Etiology of entropion 1, congenital entropion.
It is more common in infants, women are more than men, and it is mostly caused by epicanthus, over-development of orbicularis oculi muscle at eyelid margin or meibomian dysplasia.
2. Spastic entropion
It mostly occurs in the lower eyelid and is common in the elderly, also known as senile entropion. It is due to weakness of lower eyelid, slack skin of orbital septum and lower eyelid, loss of contraction function of orbicularis oculi muscle, decrease of orbital fat in the elderly and lack of adequate support behind eyelid. 3, cicatricial entropion
Both upper and lower eyelids can occur. Caused by cicatricial contraction of eyelid conjunctiva and meibomian, often accompanied by trichiasis. Trachoma is common. In addition, conjunctival burns, conjunctival pemphigus and other diseases can also occur after surgery.
The symptom of entropion is 1, congenital entropion is usually bilateral, and spastic and cicatricial entropion can be unilateral.
2, the patient has photophobia, tears, tingling, eyelid spasm and other symptoms, senile entropion can be an acute attack, and the symptoms are aggravated.
3. It can be seen that the tarsal plate, especially the tarsal margin, curls towards the eyeball. The trichiasis rubs the cornea, the corneal epithelium can fall off and fluorescein diffuses. If secondary infection occurs, it can develop into corneal ulcer. If it does not heal for a long time, the cornea will have new angiogenesis and lose its transparency, which will lead to decreased vision. Scar formation of eyelid conjunctiva can be seen in cicatricial entropion.
Treatment and nursing care of congenital entropion 1
With the growth of age, the bridge of the nose develops and can disappear on its own. If the child is 5 ~ 6 years old, and the eyelashes are still inverted, which seriously irritates the cornea, surgery can be considered to perform fornix-eyelid skin puncture.
2. Senile entropion
Local injection of botulinum toxin is feasible. If it doesn't work, you can surgically remove the excess loose skin and cut off some orbicularis oculi muscle fibers. Acute spastic entropion should actively control inflammation. In order to temporarily relieve the irritation symptoms, the lower eyelid can be stretched with adhesive tape. Those without eyeballs can be fitted with artificial eyes, and those caused by bandages can be removed.
3, cicatricial entropion
It must be treated surgically, and the meibomian wedge resection or meibomian amputation can be used.
4. Correction of entropion
Indications: ① Eyelid margin rolls inward, and eyelashes fall to cornea in rows; ② Eyelid entropion causes obvious corneal injury or the patient complains of foreign body sensation.
Contraindications: ① Severe eyelid insufficiency; ② Acute conjunctivitis and glaucoma attack; ③ Chronic dacryocystitis with obvious purulent secretion. Anesthesia method: mucosal surface anesthesia+local infiltration anesthesia. Contraindications to anesthesia are safe and effective.
Postoperative care: 48 hours of dressing, 5 ~ 7 days of suture removal. My eyes felt dry and uncomfortable about two weeks after operation. Antibiotic eye drops and eye ointment can be used, and some cases may recur. Special attention should be paid to follow-up in time if there is obvious foreign body induction.
Eyelid ectropion means that the eyelid is turned outwards away from the eyeball, and the conjunctiva of the eyelid is often exposed to varying degrees, often accompanied by incomplete closure of the eyelid, and the lower eyelid is more common than the upper eyelid. In light cases, the posterior lip of the eyelid margin leaves the eyeball and everts. If the canthus tears are everted, tears will overflow. In severe cases, the conjunctiva of the eyelid will be exposed, and even the eyelid cannot be completely closed.
Cause of ectropion 1, spasm
Because the eyelid skin is tense and the orbital contents are full, the orbicularis oculi muscle spasm compresses the upper edge of the eyelid plate (the lower edge of the lower eyelid) It is common in teenagers, especially those with bullous keratitis or high exophthalmos.
2. Old age
Only seen in the lower eyelid, due to the weakening of orbicularis oculi muscle function in the elderly, the eyelid skin and lateral canthus ligament are also relaxed, so that the eyelid margin can not be close to the eyeball, and finally the lower eyelid itself droops and everts. In addition, tears overflow and chronic conjunctivitis caused by eversion make patients wipe their tears down frequently, which aggravates the degree of eversion.
3. Scarcity
Caused by cicatricial contraction of eyelid skin surface. Eyelid skin scar can be caused by trauma, burn, chemical injury, eyelid ulcer, orbital osteomyelitis or improper eyelid operation.
4. paralysis
Only seen in the lower eyelid, due to facial paralysis, the contraction function of orbicularis oculi muscle is lost, and the lower eyelid droops according to its own weight to form ectropion.
The symptom of ectropion is 1, which is mild.
Only the eyelid margin leaves the eyeball, but the capillary action between eyelid and eyeball is destroyed and tears overflow.
2, serious
The eyelid margin is everted, and part or all of the eyelid conjunctiva is exposed, which makes the eyelid conjunctiva lose the moisture of tears. At first, it was local congestion and increased secretion. Long-term dryness and roughness, high hypertrophy and keratinization. Lower eyelid ectropion can make the tear point leave the lake of tears and cause tears to overflow. What's more, ectropion often leads to incomplete eyelid closure, which makes the cornea lose protection, and the corneal epithelium dries out, which is easy to cause exposure keratitis or ulcer.
Treatment of ectropion 1, spastic ectropion can be bandaged to restore the eyelid to its original position.
2. Senile ectropion patients should be instructed to wipe tears upward to reduce or prevent the aggravation of ectropion. The principle of surgical correction in severe cases is to shorten the eyelid margin. The simplest method is to make a triangular resection of the meibomian layer and the musculocutaneous layer of the conjunctiva, and then suture it. 3, cicatricial ectropion must be treated surgically, and free skin grafting is the most commonly used method. The principle is to increase the vertical length of the eyelid anterior layer and eliminate the traction force in the vertical direction of the eyelid.
4. The key to paralytic ectropion lies in the treatment of facial paralysis. Eye ointment, eyelid pulling can be used to protect cornea and conjunctiva, or temporary eyelid edge suture can be used. It is very important to choose the appropriate surgical method according to different causes of ectropion, and reasonable surgical operation can achieve the effect of getting rid of the disease from hand to hand. Postoperative dressing and antibiotics are needed, and the time of suture removal after operation varies according to different surgical methods.
The prevention of ectropion is usually caused by eyelid trauma, burn, eyelid ulcer, orbital osteomyelitis or skin scar traction caused by improper eyelid surgery, and eye correction surgery is generally done in clinic to prevent it. First, strengthen the orbital septum, tighten the orbicularis oculi muscle, and finally remove excess skin.
Incomplete eyelid closure means that the upper and lower eyelids can not be completely closed, resulting in partial exposure of the eyeball, also known as rabbit eye.
The reason of eyelid insufficiency is 1. The most common cause is paralysis of orbicularis oculi muscle after facial paralysis, which makes the lower eyelid slack and droop.
2, followed by cicatricial ectropion.
3. The imbalance between orbital emptiness and eyeball size, such as thyroid-associated ophthalmopathy, congenital bright eye, corneal sclerosis, exophthalmos caused by orbital tumor, etc.
4. Temporary functional eyelid insufficiency may occur during general anesthesia or severe coma. When a few normal people sleep, there is also a gap in the palpebral fissure, but the cornea will not be exposed, which is called physiological rabbit eye.
The symptom of eyelid insufficiency is 1, which is mild.
Due to the reflex upward rotation of eyeball when eyes are closed (Bell phenomenon), only the lower part of bulbar conjunctiva is exposed, causing conjunctiva congestion, dryness, hypertrophy and hyperkeratosis.
2, serious
Because the cornea is exposed, the surface is dry without tears, which leads to exposure keratitis and corneal ulcer. Moreover, the eyelids of most patients can't be close to the eyeball, and the lacrimal punctum can't be in close contact with the lake of tears, causing tears to overflow.
Treatment of eyelid insufficiency 1. We must first treat the cause. Acupuncture therapy may be effective for some patients with facial paralysis. Patients with cicatricial ectropion should undergo surgical correction. When exophthalmos occurs in thyroid-associated ophthalmopathy, emergency radiotherapy can be considered for pituitary and orbital tissues to reduce tissue edema and stop exophthalmos. Otherwise, orbital decompression can be considered.
2, according to the cause of treatment, before the cause is not eliminated, effective measures should be taken to protect the cornea as soon as possible. Antibiotic eye ointment can be applied to the conjunctival sac of mild patients, then drag the upper and lower eyelids to make them close together, and then cover the eye pad. Or use a "wet room" to protect the cornea. The method is to make a cone-shaped empty cover with transparent plastic sheet or film, cover it on the eyes, and fix it with adhesive around it, so as to keep the eye surface moist through the evaporation of tears. In severe cases, eyelid margin suture was performed. However, due to the complicated causes of eyelid insufficiency, the surgical methods are not the same. Doctors need to correctly choose the operation method and strictly operate it according to the cause of the patient's illness, and formulate a personalized treatment plan.
Blepharoptosis refers to the insufficiency or loss of levator palpebrae superioris and Miao Lei smooth muscle, which leads to partial or total blepharoptosis. Some pupils are covered in light cases, and all pupils are covered in heavy cases. Congenital cases can also cause amblyopia.
Etiology of ptosis 1, congenital
Most of them are caused by hypoplasia or defect of levator palpebrae superioris, or nerve defect that dominates levator palpebrae superioris. It is a congenital developmental malformation, mostly bilateral and sometimes unilateral, which can be autosomal dominant or recessive inheritance.
2. The day after tomorrow
The causes are traumatic, neurogenic, myogenic and mechanical, among which myasthenia gravis is the most common myogenic cause.
3. Hysteria
It is caused by hysteria, and the eyelids suddenly droop or are accompanied by hysterical mydriasis. Sometimes pressing the supraorbital nerve can make the ptosis disappear suddenly.
Symptoms of ptosis 1, paralytic ptosis
Oculomotor nerve paralysis. Most of them are monocular, often accompanied by paralysis of other extraocular muscles or intraocular muscles, mainly oculomotor nerve.
2. Sympathetic ptosis
It is caused by Miao Lei muscle dysfunction or cervical sympathetic nerve damage. If it is the latter, there will be ipsilateral pupil contraction, enophthalmos, facial flushing and anhidrosis at the same time, which is called Horner syndrome.
3. Myogenic ptosis
More common in myasthenia gravis, often accompanied by general voluntary muscle fatigue. This kind of ptosis is characterized by getting better after rest, which is aggravated immediately when blinking continuously, light in the morning and heavy in the afternoon. After subcutaneous or intramuscular injection of neostigmine, the symptoms of 15 ~ 30 minutes were temporarily relieved.
4. Others
(1) Trauma of oculomotor nerve or levator palpebrae superioris and Miao Lei muscle can cause traumatic ptosis.
(2) Diseases of eyelid itself, such as severe trachoma and eyelid tumor, increase the weight of eyelid and cause mechanical ptosis.
(3) Anaphthalmos, microphthalmia, eyeball atrophy and various reasons lead to the decrease of orbital fat or orbital contents, which can cause false ptosis.
The prognosis of ptosis is mainly to prevent vision loss and improve appearance, and should be treated according to the cause. If congenital ptosis affects vision development, it should be corrected by surgery as soon as possible. If it is mild ptosis, it will not affect vision development, and you can choose surgery to improve your appearance. Those with unilateral droop blocking the pupil should strive for early surgery, preferably before the age of 6 to prevent amblyopia. Myogenic or paralytic ptosis can be treated with adenosine triphosphate, vitamin B 1 or neostigmine. When long-term treatment fails, consider surgery carefully.
For congenital ptosis, early operation can expose the visual axis and promote the normal development of vision, and it will subside after operation. If necessary, a second operation is feasible.
Prevent blepharoptosis to avoid birth injury and trauma.