Omission of the century

Sometimes it is possible to observe in humans a difference in the appearance of the eye cracks, when one eyelid is omitted. This pathology is called the omission of the eyelid and occurs in both children and adults. Often, omission appears gradually and over time progresses for various reasons.

Normally, the edge of the upper eyelid should cover the iris by about 1.5 mm. If it covers more than 2 mm, or covers the pupil, we have to talk about pathology.

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Causes of omission of the century

The muscle that lifts the upper eyelid, works to open the eye and is located in the upper eyelid under the fat layer. This muscle is attached from opposite sides to the tarsal cartilage and to the skin of the upper eyelid. The causes of the omission of the eyelid are most often associated with this muscle.

The main causes of pathology:

• congenital disease, which is associated with an insufficient development of the muscle, designed to raise the upper eyelid;
• traumatization of the muscle, which raises the upper eyelid, or trauma of the oculomotor nerve;
• stretching the tendon of the muscle, which raises the upper eyelid (occurs in old age);
• paralysis of the cervical sympathetic nerve with the formation of Horner's syndrome;
• diabetes;
• stroke;
• a tumor process in the brain.

At sudden signs of a pathology it is necessary to consult at the doctor and to pass or take place the appointed or nominated diagnostic procedures.

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Omniposition of the Century after Botox

The procedure of the botox eyelids is carried out in order to smooth the visible wrinkles around the eyes. Typically, this technique is used in cases where cosmetics are no longer helpful and there is a need for more effective measures. Lifting with Botox is one such procedure.

Before doing Botox injections, a specialist should examine the eyelids and identify areas of muscle hyperactivity. If you make injections in these zones, the muscles around the eyes will relax somewhat and wrinkles will disappear.

However, sometimes after such a procedure, a number of complications develop, among them the omission of the century. Such a state can arise if the qualification of a specialist is insufficient, which carries out the procedure. If you enter the botox incorrectly, or exceed the dosage of injection, the muscle that raises the upper eyelid, may lose strength and cease to fulfill its purpose.

According to statistics, omission of the century after Botox procedures occurs in 20% of complicated cases, but almost always this is due to the unqualified approach to the implementation of this technique.

The omission of the century after Botox is unpleasant, but, fortunately, it can not be considered a serious pathology, since without additional therapy the signs of omission completely disappear within 3-4 weeks after the injection of the drug.

By the way, if you suffered from ovulation before the procedure, botox can only exacerbate the disease. Clinical specialists do not always warn about it, so think about whether to take risks.

Omission of the upper eyelid

This condition, like the lower eyelid, can interfere with and limit visibility due to narrowing of the eye gap. For this reason, omission is considered an ophthalmic pathology, which can provoke a disruption in the function of the organs of vision. Especially noticeable is the difference in visibility, if the omission is one-sided. Such a condition can not be ignored, and it should be shown to the ophthalmologist or neurologist.

At what symptoms should you be alerted and think about visiting a doctor?

• difficulty in blinking and difficulty with full closing of the eye;
• increased sensitivity of the eyes due to their incomplete closure;
• constant eye fatigue;
• deterioration of visual functions, the appearance of double vision in the eyes;
• it is possible to mechanically throw the head back and tension of the frontal muscles to facilitate opening of the eyes and raising the eyelids;
• the appearance of strabismus and reduced visual acuity.

The upper eyelid can move with certain difficulties, or do not move at all. Sometimes, pathology can be combined with a disruption in the muscle responsible for the movement of the eyeball to the top: in such cases, this function is disrupted.

With dysfunction of the muscle lifting the upper eyelid, an elevated position of the eyebrows and a head protruding from the back can be observed - forced positions to improve the visibility of the eyes. The fold on the upper eyelid is sometimes present on the side of the ptosis, or is much higher.

Occasionally more complex symptoms are observed:

• myasthenia gravis, which is expressed by the development of strabismus, doubling. Symptoms grow in the second half of the day, may be accompanied by weakness and a sense of fatigue;
• myopathy, in which there is also a double vision, omission of both eyelids, while the performance of the muscle lifting the eyelid is weakened, but is present;
• palpebromandibular synkinesia - involuntary friendly movements accompanying chewing, abduction and opening of the lower jaw. For example, when opening the mouth, the omission may abruptly disappear, after closing the mouth, recover;
• the appearance of palpebral syndrome, which is characterized by a combination of the lower eyelid lowering with the turn of the lower eyelid, as well as the shortening of the ocular gap and other manifestations;
• the appearance of Bernard Horner's syndrome, which is expressed by a combination of the omission of the eyelid, the narrowing of the pupil and the westernization of the eyeball. Sometimes the pathology is detected against a background of increased sweating on the face and incomplete paralysis of the shoulder nerves on the affected side.

From the scale of the lower eyelid lowering, the degree of visual disturbances directly depends: a slight decrease in vision can be observed, as well as a complete loss.

Omission of the lower eyelid

When the edge of the lower eyelid is lowered below the border of the iris so that you can observe the protein part of the eye, you have to talk about lowering the lower eyelid. This aesthetic defect arises from the weakness of the lower eyelid, which can also appear after the facial plasty and the removal of an excessive part of the skin. Such a defect is difficult to correct. Often, for this you have to resort to surgical lifting or skin transplantation in the lower eyelid. Transplanted skin, unfortunately, often has differences from the native cover, so far from always the effect suits patients.

Omission of the lower eyelid can be observed after surgery or trauma. In addition to external aesthetic moments, there are also additional signs of pathology, for example, the loss of the ability to completely close the eye. Omission of the lower eyelid may be an independent symptom, or be combined with a protrusion of the eyeball, which can aggravate pathology.

The omission can be observed with a direct look at the objects, can develop against the backdrop of a visible lag in the function of the upper eyelid when viewed from the bottom, or simulate astonishment and fear in the eyes while focusing the gaze.

Patients with lower eyelids usually look tired and much older than their age.

Diagnosis of the descent of the eyelid

The initial stage of the diagnosis of the omission of the eyelid includes the collection of anamnestic data, which specifies the possibility of inheritance of pathology, the facts of injuries and surgical interventions in the facial area.

At external survey pay attention:

• the location of the upper eyelid in relation to the iris;
• the width of the eye gap;
• difference in the location of the eyelids on the right and left eye;
• maximum amplitude of the movements of the upper eyelid;
• the location of the fold of the upper eyelid;
• the ability to move the eyebrows and eyeballs;
• position of the neck.

If the doctor suspects a lesion of the ciliary muscle, an adrenaline test is performed: a swab with epinephrine is placed under the upper eyelid for the location of the muscle. After five minutes, they are examined. If there is a rise of the affected upper eyelid to the level of the opposite healthy age, the test is evaluated as positive.

Next, examine the state of the organs of vision using tables, conduct microscopic examination of the plaintive layer, conjunctiva, corneal tissue.

There is no need for laboratory analysis when there is no eyelid. If a brain trauma or pathology is suspected, an X-ray or magnetic resonance or computer tomography procedure is prescribed.

Sometimes an ophthalmologist may need to consult a neurologist and a surgeon.

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Treatment of the descent of the eyelid

Conservative treatment methods for the omission of the eyelid are rarely used. These methods can treat the disease of a neurogenic etiology, and also temporarily maintain the eyelid before the possibility of performing a surgical intervention.

Still, the vast majority of pathologies of the descent of the century are treated surgically. Children can be operated from 3 years of age: this should be done as soon as possible in order to prevent functional decline in vision and development of strabismus. In order to eliminate the cosmetic defect (when vision is not disturbed), the operation is performed after the puberty period, when the bone facial skeleton is finally formed.

If omission is caused by trauma, the operation can be performed directly with the initial treatment of the wound surface by the surgeon, or after healing, that is, after 6-12 months.

In other situations, the doctor decides on the timing of the operation, as the case may be.

How to perform surgery with the acquired omission of the eyelid:

1. The surgeon removes part of the skin of the upper eyelid.
2. Cuts the membrane that closes the entrance to the orbit.
3. Cuts the leftover muscular aponeurosis.
4. Removes part of the aponeurosis and sews it below.
5. Imposes a cosmetic suture on the wound.

How to perform surgery with congenital lower eyelid:

1. The surgeon removes part of the skin of the upper eyelid.
2. Cuts the membrane that closes the entrance to the orbit.
3. Defines the levator muscle.
4. Shortens the leaver by applying seams.
5. Imposes a cosmetic suture on the wound.

With a significant congenital omission, the levator muscle, which raises the upper eyelid, is sewn to the muscle of the cranial vault. Thus, the eyelid can rise with the tension of the muscles of the forehead.

At the end of the operation, the doctor applies an occlusive bandage, which is usually removed after a few hours.

Such an intervention is performed under general or local anesthesia. The duration of the operation is about 60 minutes.

Sutures can be removed for 5-6 days. To normal life the patient returns, as a rule, in 1-2 weeks, after the signs of puffiness and hematoma disappear.

Often after surgery, doctors prescribe medication to prevent possible complications. Such treatment involves the appointment of the following drugs:

• antiseptics (boric acid 2% or zinc sulfate 0.25% for washing 3 times a day for 1-2 weeks);
• antibiotic therapy (ofloxacin, gentamicin-antibacterial eye drops, one drop into the operated eye three times a day for a week);
• ophthalmic ointment with erythromycin, tetracycline, roletetracycline (up to 2 times a day for 10 days).

It is important to pay attention to some existing contraindications to surgery when the upper eyelid is lowered. Blepharoplasty is not performed in the following cases:

• with exacerbation of chronic pathologies;
• with severe weakness of immunity;
• with neuropsychic disorders;
• until the child reaches 3 years of age.

Prevention of the descent of the eyelid

An important moment in the prevention of ovulation of the century is the timely treatment of any diseases that can provoke this pathology. For example, neuritis of the facial nerves must be urgently treated by a neurologist, and the possibility of ovulation after injections of Botox should be discussed with a specialist in lifting.

If you notice the weakness of the eyelids associated with age-related changes, then cosmetic and alternative remedies can help you.

The easiest way is to take a lifting cream. Which of the creams to choose, you will be advised in a beauty salon or store. However, if you are prone to allergies, choose a product with a hypoallergenic composition.

Alternative methods of prevention include the use of tightening masks, oils and massage procedures.

To make a mask, you need to take the whipped egg yolk and drop a couple drops of sesame oil into it. The mask should be spread on eyelids, leave, then wash off after 20 minutes with warm water.

The mask of grated potatoes also helps: potatoes are washed, grated, placed in a cold place for a quarter of an hour, then the mask is distributed on the upper eyelids. Further it is recommended to lie down about 20 minutes. Mask wash off and get wet eyes with a napkin.

It is said that the use of such procedures strengthens the eyelids, and also eliminates small wrinkles around the eyes.

Massage the eyelids should be done with lowered eyelids. Before the procedure, eyelids can be rubbed with lotion to remove sebaceous scales and open the outflowing ducts of the sebaceous glands. Massage using a cotton swab or a disk impregnated with antiseptic solution or ointment: 1% solution of synthomycin, sodium sulfacyl solution, 1% tetracycline ointment, etc. Use stroking with gentle pressure, making circular and rectilinear movements from the inner corner of the eye to the outer corner . You can lightly flick your eyelids with your fingertips. Massage is practiced every day for 10-15 days.

Special gymnastics for the eyes with muscle weakness.

The starting position is standing.

1. We look upwards, without lifting our heads, then sharply down. We repeat the movements from 6 to 8 times.
2. We look up and to the right, then diagonally down and to the left. We repeat the movements from 6 to 8 times.
3. We look up and to the left, then down and to the right. We repeat the movements from 6 to 8 times.
4. We look to the left, then to the right. We repeat the movements from 6 to 8 times.
5. Pull the arm forward, hold it straight. We look at the tip of the index finger and gradually bring it closer, without stopping looking until the picture starts to "double". We repeat the movements from 6 to 8 times.
6. We put the index finger on the bridge of the nose. We turn a glance to the finger alternately with the right and left eye. Repeat up to 12 times.
7. We move our eyes in a circle to the right and to the left. We repeat the movements from 6 to 8 times.
8. Quickly blink for 15 seconds. We make 4 such approaches.
9. Hold tightly for 5 seconds, then sharply open your eyes also for 5 seconds. Repeat 10 times.
10. Close your eyes and massage your eyelids with your finger in a circle for 1 minute.
11. We translate the view from the nearest point to the far and vice versa.

Movement of the eyeball during exercise should be as wide as possible, but not painful. Motor speed can be complicated over time. The duration of such prevention is at least 3 months.

Forecast of the descent of the century

If the treatment of eyelid drooping was carried out to a child, experts recommend continuing to monitor the condition of the eyelids during the entire period of growth of the baby.

After treatment, the prognosis is favorable.

If omission is combined with paralysis of the eye muscles, the effectiveness of treatment may be partial.

The triggered states of neuromuscular pathology do not guarantee the achievement of a positive result.

Despite the possible assurances of some experts, the best treatment for ovulation of the eyelids is now considered to be surgical intervention. Clinics that cure the omission of the century are many. The main thing is to choose a good qualified doctor who will save you from this shortcoming.

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