Open eyelid surgery

This is an automatically translated article.

Cleft eyelid is an unsafe condition for the eyes, specifically the eyes are not fully protected by the opening and closing of the eyelids. The problem of open eyelids, if not detected and treated thoroughly, will seriously affect the patient's vision. The following article will help you better understand the method of eyelid surgery.

1. The role of eyelids

The eyelid part plays a very important role in the aesthetics and function of the eyes. The eyelid is a complex of parts: skin, sphincter, subcutaneous tissue, ciliary cartilage and conjunctival cartilage that helps to cover the entire front of the eye. Closed eyelids have the main effect of protecting the eyeball and cornea from mechanical injuries from outside impacts and providing the necessary moisture to ensure the normal function and functioning of the eyes.
In addition, the eyelids also play a role:
Ensure the aesthetics of the eyes, contributing to creating a beautiful eyes. Prevent dust or foreign objects from entering the eyes. Closed eyelids protect the eyes from drying out while sleeping. When blinking, tears will be evenly distributed in the white and black to help the eyes stay wet, see clearly, and remove dust, foreign objects, and most disease-causing bacteria in the eyes.

2. Open eyelids: Risk of acquiring and complications

Cleft eyelid is a condition of the eye specifically in which the eyelids are not able to close even when the patient has actively closed their eyes.
To confirm for sure, the ophthalmologist will check the function of the VII nerve (facial nerve) by asking the patient to close the eyes like going to sleep or actively close the eyes. If the doctor notices that the eyelid shape is changed, the tear pumping mechanism is affected, the eyeball surface is damaged, then the patient will have a Cleft palate.
If you have been diagnosed with open eyelids, you need to treat them early to avoid severely affecting the normal functions and activities of the eyes, and in the long run also have a significant impact on the patient's activities. .
Causes of open eyelids
Facial nerve paralysis (specifically VII nerve) Facial muscle damage or eye injury Eye tumor Eye area brain injury Eye disease such as protrusion, sunken eyes , scars in the eyes... Sleep disorders Complications after plastic surgery (eyelid surgery, removal of puffiness...), most of the cases are in the lower eyelids May be genetic: many members of the family If your family has this condition, chances are high that you will also have the same problem. Common complications of cleft eyelids
Due to the structural characteristics of the eye, it always needs to be lubricated to function properly. Specifically, when the eyes are closed or blinked, it will help supply water to the eyes, water is evenly applied over the entire cornea, the conjunctiva in front of the eyeball, helping the eyes not to be tired and dry.
When the eyelids are open, unable to blink, over time, the face will be dry, opaque or even ulcerated, causing a significant impact on vision, even severe cases can cause blindness.
It is necessary to mention that opening eyelids makes the eyes unable to close when sleeping, so dust and foreign objects get into the eyes, causing eye pain, eye infection, conjunctivitis, keratitis...

3. Surgery to treat open eyelids

3.1. Before surgery When you have been diagnosed with cleft palate and have surgery indications, during the waiting period for surgery, you should wear glasses to limit irritation to the eyes as well as foreign objects flying into the eyes causing damage. aggravated injury.
Regularly clean eyes with 0.9% physiological saline solution or artificial tear solution. When sleeping, you can use antibiotic ointments or eye gels such as liposic, corneregel with the purpose of moisturizing the open eye area.
3.2. Performing surgery Depending on the patient's condition, the doctor will prescribe an oral or injectable sedative; local anesthetic or sedation if the patient is uncooperative.
In the case of open eyelids due to paralysis of the nerves that control opening and closing, blinking. The treatment method will be acupuncture, stimulating the acupuncture points of this nerve to help it work normally.
Open eyelid surgery due to scarring causing eyelid roll
Mark the area with eyelid scars and the area where the skin flap is intended to be Anesthetized at the site of the procedure Incision skin, excises the eyelid scar or releases the adhesions so that the eyelid margin becomes clear. restore its original anatomical position Temporarily suture the eyelids Take an impression of the eyelid skin defect Skin graft: take skin at the positions behind the ears, ears, and inside the arm for grafting Use skin flaps if skin defects small eyelashes. Open eyelid surgery due to nerve palsy VII
Stitching the eyelids (this procedure helps the eyelids to close and protect the eyes, but it is not a long-term and radical solution to the root cause) + Remove the free eyelid margin the symmetry of the upper and lower lashes is about 4-5mm long, 1mm wide, 0.5-1mm deep (pay attention to avoid infringing on the eyelash line)
+ Sew directly on the two upper and lower eyelid cutting edges through cartilage
3.3. After surgery Re-examination on schedule: after 1 day, 2 weeks and 1 month
You continue to wear glasses or wear a shield while sleeping to keep your eyes covered
Take medicine and take medicine according to the doctor's prescription
Theo Watch for signs: fever, pain, swelling, burning eyes...for immediate re-examination

Eye specialties at Vinmec International General Hospital are the leading medical facilities in the country in the examination and treatment of eye-related diseases, with comprehensive quality in both expertise and medical services.
Eye specialist at Vinmec has comprehensive vision and eye health care functions for children, adults and the elderly including: refractive error check, laser treatment and surgery. In addition, the department also has the task of coordinating with other clinical departments in the treatment of pathological complications and eye injuries caused by accidents.
Besides, the team of Ophthalmologists here are experienced doctors who have implemented many types of surgery from routine to difficult surgery, especially techniques that require aesthetics. . With enthusiasm and love for the profession, the team of doctors working at Vinmec always gives customers the best services with the highest service quality.

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