Information for the parents/patients undergoing Ptosis Surgery

 

Ptosis Surgery

  • As shown in Fig 1 in patients with Ptosis, the eye muscle that lifts the eye lid is weak
  • In a Ptosis surgery this muscle (Thick arrow in Fig 2) is tightened or a special material called sling is passed to lift the lid (White pentagon in Fig 2)
  • This is accomplished through a cut in the skin or holes which are not visible later. These holes are made in the skin as shown in Fig 2
  • A sling surgery is performed with the special silicon material or patients own tissue harvested from the leg (called fascia lata)
  • The surgery takes nearly 45 minutes per eye
  • There would be a bandage after surgery for 48 hours and there are no food or activity restrictions after surgery
  • The patient/child can start going to the school/routine activities a week after the surgery
  • The patient’s eye would remain partly open during the sleep for at least 6 weeks after the surgery. There will be a partial or complete recovery there after.
  • The movement of the eye lid remains incomplete after any ptosis surgery especially if it is a sling surgery and when the patient is looking down
  • Success rate of the Ptosis surgery ranges from 80% – 90%
  • A resurgery may be required later  for which Jyotirmay Eye Clinic takes partial responsibility and would offer appropriate reduction in charges


Anesthesia

  • Local Anesthesia: This is achieved by giving an injection in the upper lid. It is given a few minutes before the surgery and given very slowly so that the patient does not feel very uncomfortable. The effect of the injection lasts for 2-3 hrs
  • General Anesthesia: This is the most favored method for children or anxious adults. During the surgery, the patient is on oxygen. Pulse and blood oxygen levels are constantly monitored by a very experienced anesthetist. It is very important that the patient is starving (should not take even the sips of water) from approximately 6 hours prior to the surgery and has perfect health. This has to be certified by the physician or pediatrician. Our anesthetist takes final decision on the safety of the anesthesia administration.
  • For us safety of the child is paramount. Nevertheless, general anesthesia carries a small risk of unanticipated event and the patient / parents should know this. Certainly we will take all the precautions to ensure nothing goes wrong during or after the surgery but, biological systems are not fully predictable.
  • Common side effects of a Ptosis surgery world over are as follows

 

Under or over corrections (Requires repeat surgery after few months or few years)     5-20%

Extrusion of sling material after surgery                                                                                   5%

Dryness of eyes (Exposure keratitis)                                                                                             25%

 

  • Rare complications are many that include bleeding, infection, movement restriction, abnormal head posture, difference in the size of the eye aperture etc. Very rare events of vision loss and death are also reported.

 

 

At Jyotirmay Eye Clinic we constantly work towards eliminating complications by

  1. Rigorous and multiple preoperative examinations
  2. Performing every eye surgery under microscope (-Zeiss Inc, world’s best microscope made in Germany)
  3. Performing every sling surgery with  Silicon Sling Material
  4. Employing a highly competent well equipped Anesthetist
  5. Ensure fitness by obtaining Preoperative Anesthesia fitness from physicians
  6. Providing you with a very clean, safe and well equipped Operation Theatre

 

Certainly we value your trust in us. We keep our self most updated with the state of the art in medicine. We would do everything to provide you/your child with the best possible care, as would be the case if it was our own child or a relative.

We exist to serve.

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We have read this information brochure and cleared our doubts by discussing with Dr Mihir Kothari. We give consent to Dr Mihir Kothari to perform ptosis surgery ………………………………………………. ………………………………………..

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