Ptosis

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Drooping eyelids
Producer: Maryam Nosratabadi
Training Supervisor: Azam Ghaedi
Source: Family Medicine Handbook
Author: Dr. Alireza Monjemi
Winter 95

Ptosis or drooping eyelids:
Drooping eyelid is an abnormal condition that occurs in the upper eyelid of one or both eyes, in which the eyelid is drooping due to congenital or acquired weakness of the eyelid-raising muscle or cranial nerve palsy.
Types of ptosis or drooping eyelids
Acquired ptosis The patient should be evaluated for a history of trauma, eye surgery, contact lenses, diplopia, or a family history of drooping eyelids.
2- Ptosis is renewed in such a way that there is no ptosis in this code or it is mild and it is created or intensified in the evening and night hours.
3- Mechanical ptosis

In many older people, eyelids are caused by stretching of the skin and an increase in subcutaneous fat.
Treatment: It is treated by shortening the eyelid lifting muscle by surgery.
Nursing Care
Use a cold compress for 24 hours after the operation, and in the second 24 hours, apply a cold compress for an hour and rest for an hour. On the third day, apply a cold compress for 10 minutes every hour for a cold compress.
Oral analgesics can be used if there is pain.The sutures are absorbable on the skin of the face and are removed on the fifth day after the operation and the sutures are not manipulate

Bruising and bulging eyelids gradually disappear 2-3 weeks after surgery.

The patient does not have much pain after the operation and in case of severe pain, bleeding, vision loss, be sure to inform the surgeon. It takes 3-6 months to judge the outcome of an action.

Preoperative tipsThe patient should not consume water and food for at least 8 hours before the operation
If you use anticoagulants such as aspirin, warfarin and painkillers, consult your doctor and stop taking them a few days before the operation (7-10 days before the operation).
Avoid cleaning your eyebrows for two to three weeks before the operation.
Women should avoid cosmetics on the face and around the eyes on the day of surgery.