Blepharoptosis correction aims to restore the position of a drooping upper eyelid. Treatment is chosen after identifying the cause and assessing the eyelid-lifting muscle.
Patients with aponeurotic blepharoptosis in whom the upper lid has drooped despite preserved or good levator function. Patients with congenital ptosis after assessment of the visual axis, levator function and amblyopia risk.
Patients with post-traumatic or postoperative ptosis after the injured structure is identified. Patients with mechanical ptosis after the cause that weighs down the eyelid has been addressed or incorporated into the surgical plan.
Patients whose eyelid blocks part of the pupil or visual field and causes compensatory brow or neck strain.
True blepharoptosis must be distinguished from blepharochalasis, brow ptosis and pseudoblepharoptosis.
Patients with both true ptosis and excess upper eyelid skin when the surgeon confirms that both problems should be treated.
Do not judge the problem only by the eyelid crease or amount of skin.
Perfect symmetry and a lifetime result cannot be guaranteed. Recurrence can occur, particularly with progressive muscular or neurologic causes.
Fluctuating ptosis that worsens with fatigue should prompt evaluation for neuromuscular disease, including myasthenia.
Dry eye, corneal sensation, Bell phenomenon and eyelid closure should be assessed before surgery because elevating the lid can increase corneal exposure. Possible complications include undercorrection, overcorrection, asymmetry, contour abnormality, lagophthalmos, dry eye, exposure keratopathy, bleeding, infection and the need for revision.
Bring previous ophthalmology and neurology reports, older photographs showing the eyelid position, and information about prior eyelid or eye surgery and trauma. Tell the doctor about myasthenia, thyroid disease, neurologic disorders, dry eye, contact lens use and all medications.
Sudden eyelid drooping requires urgent medical assessment rather than elective plastic surgery, especially if accompanied by double vision, a severe headache, a change in pupil size, weakness or impaired eye movements.
For a child, arrange an examination without delay if the eyelid blocks the visual axis, the child tilts the head back or amblyopia is suspected.
Sudden ptosis with diplopia, severe headache, unequal pupils, impaired eye movements, weakness or numbness requires urgent assessment.
Sudden ptosis with diplopia, severe headache, unequal pupils, impaired eye movements, weakness or numbness requires urgent assessment.
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The doctor reviews history, compares eyelids and assesses vision, eye movements, pupils and signs of associated disease.
Eyelid-margin position, MRD1 when needed, levator function, crease height, brow position, closure and ocular-surface condition.
Visual fields, photographic documentation, neurological assessment and laboratory or instrumental tests if a systemic cause is suspected.
The technique depends on the cause of blepharoptosis and levator function.
The surgeon corrects the structure responsible for eyelid elevation.
The doctor assesses eyelid height and contour, closure, corneal condition and healing.
Lifting a drooping eyelid helps reduce pupil obstruction when ptosis is the cause.
Surgery is planned around eyelid height and contour, with safe eye closure remaining a priority.
Correction can reduce visual obstruction caused by overhanging tissue or abnormal eyelid position.
The operation is selected according to skin, muscle, ligament and ocular surface health, rather than appearance alone.
Book a KazRIED ophthalmology or ophthalmic surgery consultation. The doctor can determine whether the eyelid droop is true ptosis, assess levator function and the ocular surface, then discuss suitable correction options, risks and confirmed pricing.
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Blepharoptosis is an abnormally low position of the upper eyelid. The cause may involve the eyelid elevator muscle, its aponeurosis, nerve control, or mechanical loading of the eyelid. Treatment depends on the cause and levator function.
In unilateral blepharoptosis, the possible Hering effect is considered: raising one eyelid may change the position of the other.
Comparing eyelid height in a photograph is insufficient for proper planning: similar appearances may have different causes.
Persistent structural or aponeurotic blepharoptosis is usually corrected surgically. If a neurological, muscular, or other condition is suspected, its cause must first be investigated and treated when possible.
Exercises and massage do not replace surgical correction of true persistent blepharoptosis.
Treatment may have a functional goal: a drooping eyelid can obstruct the visual axis, restrict the superior visual field, and cause the patient to raise their eyebrows or tilt their head back. In children, visual axis obstruction carries a risk of amblyopia.
The technique depends on the cause of ptosis and levator function. If excess skin is present, the need for blepharoplasty is considered separately.
The surgeon corrects the structure responsible for eyelid elevation. Anesthesia and the extent of surgery are determined individually.
Safe eyelid closure, corneal protection, and a natural contour must be preserved. A moderate correction may sometimes be preferable, particularly with reduced corneal sensitivity, a weak Bell’s phenomenon, or significant dry eye.
The clinician assesses eyelid height and contour, closure, corneal condition, and healing as swelling subsides. Follow-up appointments and restrictions are specified in individualized instructions.
Contact the clinic without waiting for a scheduled appointment if there is increasing pain, a sudden reduction in vision, marked redness, purulent discharge, or inability to close the eye with corneal drying.
The ophthalmology consultation category — a clinician with the highest qualification category or more than 10 years of experience — depends on the specialist selected.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
