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Entropion
Repair
In entropion,
the eyelid is turned in toward the eye, and the eyelashes abrade
the eye, causing tearing and irritation. The correction involves
outpatient surgery of the eyelid, and is often performed with the
CO2 laser, resulting in minimal to no bruising,
and a rapid recovery.
Ectropion
Repair
In ectropion,
the eyelid is turned out, exposing the pink conjunctiva lining the
eyelid. The eye can be irritated and tearing. Outpatient surgery
can correct this. In some patients, skin grafting is necessary.
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After
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Ptosis
Repair
Ptosis means
that the eyelid does not fully open. This can interfere with vision.
Ptosis can be congenital, since birth, or can occur after trauma,
cataract surgery, or with age. Surgical repair is done as an outpatient,
and the eyelid level is adjusted painlessly with the patient semi-awake.
The CO2 laser is used, resulting in minimal
to no bruising, and a rapid recovery. Patients usually can return
to their usual activities in about a week.
Skin
Cancer of the Eyelid
Basal cell carcinoma
is the most common skin cancer of the eyelid. It is usually biopsied
in the office to confirm the diagnosis. Surgical removal of the
cancer is done as an outpatient. If necessary, the eyelid is reconstructed
with skin grafts. In most cases, the result is excellent, and there
are minimal or no telltale scars. Other skin cancers are generally
curable, and the cosmetic results can be excellent.
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