Adult Ptosis Follow-up
- Author: Adam J Cohen, MD; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
If blepharoptosis correction is performed, the patient should be followed closely in the post-operative period.
Inpatient & Outpatient Medications
After blepharoptosis surgery, a topical antibiotic ointment (with or without a steroid) can be applied twice daily for 5-7 days. The authors do not routinely use ointments to dress wounds.
Perioperative IV antibiotics can be given or an oral antibiotic prescribed for 5-7 days as well.The authors do not routinely prescribe antibiotics.
Pain is usual minimal in the post-operative period but Tylenol #3 or Vicodin can be prescribed if necessary.
Uncorrected congenital ptosis can result in amblyopia secondary to deprivation or uncorrected astigmatism.
- An abnormal eyelid position can have negative psychosocial effects, especially in young children and teenagers.
- Ostracism can lead to poor academic performance, loss of self-esteem, and alienation.
In some cases, uncorrected acquired blepharoptosis results in decreased field of vision and frontal headaches.
- The decreased visual field can affect one's ability to perform activities of daily life.
- Driving, reading, and navigating a flight of steps can be particularly difficult.
If correction of blepharoptosis is undertaken, complications can occur.
- Most ptosis surgery is performed with the patient under local anesthesia and with monitored anesthesia care; reactions to anesthetic agents are possible complications.
- Bleeding and poor response to anesthetic agents are potential intraoperative complications.
- Bleeding and infection can be occur in the early postoperative period. Prolonged bruising, edema, undercorrection or overcorrection of the ptosis, eyelid asymmetry and abnormal shape (i.e. peaking), and corneal foreign body sensation can be later complications.
Inform patients that symmetry is difficult, if not impossible, to achieve (see Medical/Legal Pitfalls).
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