Over time the muscles that hold the eyelids in their proper position can become lax causing the lids to turn either inward or outward. When the lid turns inward (entropion) the lashes rub against the eye causing tearing and discomfort. When the lid turns outward (ectropion) the eye is unable to hold in the tears that keep it moist and leads to reflux tearing and dry eye. Surgery can restore the eyelid to its proper position and is done on an outpatient basis.
Aging changes in the eyelid area can lead to drooping lids, hanging skin, obscured vision and a more tired appearance. These conditions can be corrected for cosmetic reasons or simply to restore clearer vision and can often be covered by insurance.
The muscle that is responsible for holding the upper eyelid in place can also weaken over time causing the lid to droop, impairing vision and creating an unbalanced appearance. Surgery can tighten this muscle and raise the eyelid.
The eye produces tears to keep it moist and this fluid drains through a passage called the nasolacrimal duct system. Sometimes this drainage system can become clogged and results in excessive tearing, acute infection and chronic inflammation. A new pathway can be surgically created that will alleviate symptoms and prevent further infections.
There are many types of eyelid lesions that require different type of treatment. Some are benign in nature and others are cancerous in nature and can involve more in-depth treatment.
The eyelids contain oil glands that can become clogged causing a painful red bump. This can sometimes be resolved by applying warm compresses and an antibiotic ointment. If after treatment, the bump remains, it can be surgically drained and removed.
This is the most common type of malignancy and is easily treated when detected early. It appears as a hard nodule with a pearly appearance. If left untreated, it can ulcerate the skin and invade surrounding tissues.
While less common than Basal Cell Carcinoma, this cancer can be very aggressive and spread quickly. It can appear as scaly red patches, open sores, elevated growths with a central depression, or warts that crust over and bleed.
Melanoma is the most dangerous form of skin cancer. It most often starts on the skin but can progress to other parts of the body including the eye. It can be life threatening if left untreated but with early detection and surgical intervention, there is an excellent survival rate.
Blepharospasm is a neurological condition that is characterized by the forcible closure of the eyelids. It is not life threatening but can cause great difficulty when driving or performing normal daily activities. Botulinum toxin can be injected into the affected muscles to temporarily paralyze them and restore normal eyelid function.
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