The correct position of the eyelids and eyelashes protects the eye from external harmful agents and helps proper lubrication of the eye surface when spreading the tear. The protective function of the eyelids can be altered when there is a bad position. It is very important to assess the function of the eyelids by oculoplastics to determine the most appropriate grade and treatment options for each patient.

The palpebral problems are the following:

PALPEBRAL ECTROPION AND ENTROPION

In the lower eyelid, poor position may be due to either the eyelid falling (ectropion) or the eversion into the eyelid (entropion). Eye redness, itching, or even burning and tearing may appear in patients with ectropia. The entropion is compounded by the symptoms described above by rubbing the lashes with the surface of the eye causing a foreign body sensation inside the eye or pain. Eyelid re-placement surgery is performed through the side wrinkles or “crow’s feet” so that the scar is virtually imperceptible.

Lower eyelid with ectropia or eversion outwards, causing the eyelid to separate from the eyelid surface.
Lower eyelid with entropia or inward inversion, causing contact of the eyelashes with the eye surface
Lower eyelid with long-lasting entropia, causing deterioration of the ocular surface (conjunctiva and cornea) due to chronic rubbing of the lashes.

PALPEBRAL PTOSIS

In the upper eyelid the most common alteration is the fall or ptosis . In consultation with the oculoplastic ophthalmologist a thorough examination of the function of the eyelid lifting muscle and appendages is performed to determine which is the best treatment option. There is the option to perform the surgery on the inside through the conjunctiva or on the skin through the fold of the eyelid so that the scar would hardly be visible.

Patient with eyelid ptosis in both eyes of symmetrical involvement and with years of evolution.
The same patient without upper eyelid ptosis, where it can be seen that she has improved her eyelid opening without changes in her contour or expressiveness.
Patient with eyelid ptosis in both eyes of asymmetrical involvement, greater fall in right eye.
The same patient without upper eyelid ptosis achieving symmetry between the two eyes.

PALPEBRAL TUMORATIONS

The eyelid skin is the thinnest and most sensitive of the body. As a result, it is the first area of ​​the body to show changes resulting from sun damage and aging.

Unfortunately, sun damage and other environmental toxins can lead to more serious damage, such as eyelid skin cancer. The presence of nodules or lesions on the eyelids that grow, bleed, or ulcerate should be assessed. Treatment consists of surgical excision and eyelid reconstruction.

Palpebral tumoration

Information

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