DROOPING LIDS (PTOSIS)
Drooping of the lids can be present from birth or can occur later in life due to trauma, aging or neurological problems. Apart from obstructing the vision, it gives a sleepy and dull look to the face. If present since birth, it can obstruct the development of vision leading to lazy eye. Hence it is important to correct this problem both for functional and cosmetic reasons. Surgery is performed through a natural lid crease or from the inner aspect of the eyelid and involves tightening of the lid lifting muscles or use of a tarsofrontal sling. Surgery does not create any cosmetic blemish.
ENTROPION
There is in turning of the lid margin with rubbing of the lashes against the cornea in this condition. This can occur due to aging or chemical injuries. Surgery is performed from the inner aspect of the lid and gives excellent results.
ECTROPION
Out ward turning of the lids can occur due to facial nerve weakness or Bells palsy or burns following acid or alkali burns. This can be corrected by tightening of the supports of the lid.
WATERING EYES
Tear ducts can be blocked since birth and this may resolve on its own in most cases or may need simple procedures like probing. In an adult with blockage of the tear ducts, the block can be bypassed by creating a new channel (dacryocystorhinostomy) by an incision near the corner of the eye
