Eyelid Diseases

​

Eyelid Tumors

 

It manifests as a mass or a wound that cannot be healed.

Masses growing on the eyelid should be evaluated by an ophthalmologist. Eyelid tumors can be benign or malignant. An experienced ophthalmologist can distinguish between the two in most patients during the examination, by looking at them with the naked eye and a microscope. However, the definitive diagnosis is made after pathological examination.

Malignant tumors are more common in the elderly. Possible factors are sunlight, hereditary predisposition and smoking.

The preferred method of treatment is surgery. In surgery, the tumor is removed and the biopsy is checked for tumor cell remaining in the surrounding tissues. The loss of the eyelid that occurs after the tumor is removed is repaired. The repair should be successful both in terms of functionality and appearance.

Surgery can be performed under local or general anesthesia, depending on the patient's desire and the size of the tumor. Patients are discharged on the same day or one day after hospitalization.

Surgical treatment of eyelid tumors should be done by experienced ophthalmologists.

Unsuccessful surgeries may cause undesirable consequences such as recurrence of the tumor, impaired appearance, damage to the eye and the spread of the tumor to the eye or other parts of the body.

 

Droopy Eyelid - Ptosis

 

The drooping of the upper eyelid is called "blepharoptosis" in medical literature.

It can be congenital or appear in later years.

The most common reason is that the muscle that lifts the upper eyelid (m. Levator palpebrae superior) is not well developed.

Other causes are aging, eye surgeries, nerve palsy, and injuries.

The low eyelid prevents the upper part of the visual field from being seen and reduces the light entering the eye.

It may cause congenital low eyelid, amblyopia and astigmatism.

Low eyelid is often treated surgically.

Operations are performed with local anesthesia in adults and general anesthesia in children.

In surgery, the muscle that lifts the eyelid is shortened and strengthened or a sling is performed on the forehead muscles.

The surgery is done without any stitch marks.

Patients are discharged on the same day or the day after surgery.

 

Eyelid Conversion - Ectropion

 

It is often seen in the lower eyelid.

It causes complaints such as external appearance disorder, eye redness and watering, burning sensation, burring.

The leading cause of ectropion is old age. With the effect of aging, there is looseness in the ligaments that allow the eyelid to attach to the bones. In addition, there is an imbalance between the forces of the muscles that open and close the eyelids.

It can be seen after plastic surgery of the lower eyelid. In this case, the reason is often the excessive shortening of the lid skin. Sometimes injuries and tumors cause the flap to turn outward.

Its treatment is surgery. The surgery is performed by numbing the eyelid (local anesthesia) in adults.

The patient can be discharged on the same day.

Recurrence after surgery is very rare.

 

Eyelid Inversion - Entropion

 

It is often seen in the lower eyelid.

It causes complaints such as external appearance disorder, eye redness and watering, burning sensation, burring.

The leading cause of ectropion is old age. With the effect of aging, there is looseness in the ligaments that allow the eyelid to attach to the bones. In addition, there is an imbalance between the forces of the muscles that open and close the eyelids.

It can be seen after plastic surgery of the lower eyelid. In this case, the reason is often the excessive shortening of the lid skin. Sometimes injuries and tumors cause the flap to turn outward.

Its treatment is surgery. The surgery is performed by numbing the eyelid (local anesthesia) in adults.

The patient can be discharged on the same day.

Recurrence after surgery is very rare.

 

Excessive Eyelid Opening - Eyelid Retraction

 

The upper eyelid normally covers the colored part of the eye by 1-2 mm. It is abnormal for the eyelid to be more open.

Often due to thyroid-related eye disease (thyroid orbitopathy).

It may also be due to facial paralysis and valve injuries.

It may cause complaints such as dry eye, stinging, burning, and affects the appearance of the patient.

It can cause the eye to remain open at night, so the corneal layer may be damaged.

Medical and surgical methods are used for treatment.

In patients who require surgical treatment, the muscles that open the eyelid are weakened.

It is often performed under local anesthesia and the patient is discharged on the same day.

 

Eyelash Ingrown

 

Stinging eyelashes is an extremely disturbing situation.

It can be due to a wide variety of causes: eye surface diseases, inflammations, eyelid injuries.

It may be congenital in some babies due to the structure of the eyelid.

Contact of eyelashes with eye surface causes stinging-foreign body sensation in the eye, pain, redness, watering, burring and discomfort from light.

The severity of the lash ingrown can vary in proportion to the number of lashes sinking. Eyelashes may be individually or locally along part of the lid or inverted across the entire eyelid.

Ingrown eyelashes can cause serious damage and loss of vision in the transparent layers (conjunctiva and cornea) on the front of the eye.

If there are few eyelashes for treatment, the root of the eyelash can be burned with laser beam. However, most patients require surgical intervention.

Surgical treatment is usually performed with local anesthesia in adults. Patients can usually be discharged on the same day.

Recurrence after surgery is rare.