My eyes look small and my eyelids are drooping so I can't see them well? Suspected blepharoid sewage. What about treatment?
May 01, 2025
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Professor Jang Sun-young of Soonchunhyang University Bucheon Hospital said "The eyelid sewage is a state in which the upper eyelid is abnormally sagging and covers the pupils, and the height of the gap between the upper and lower eyelids is shortened. It can be innate, it can be acquired due to aging, trauma, neuropathy, etc"He explained that weakening of eyelid muscles caused by aging is the most common cause."
In addition, rare intractable diseases such as "chronic progressive external eye muscle paralysis" and ophthalmic sewage due to work history can also occur. In the case of ophthalmic sewage due to work history, it can be treated with ordinary drugs.
The presence of eyelid sewage can give the impression that your eyes look small or tired and sleepy, and compensatory actions such as applying strength to your forehead and raising your eyebrows to open your eyes properly due to obstruction of vision. In some cases, the eyelid skin is drooping and the edges are torn down, causing heartburn.
Professor Jang said "If what you see when you lift your eyelids by hand is clearly improved, you can suspect blepharotomy."
People often think that double eyelid surgery and eyelid sewage surgery are the same, but double eyelid surgery is an operation that only creates double eyelid while eyelid surgery is aimed at restoring the height of the eyelid by pulling the muscles that lift the eyelid. Therefore, simple double eyelid surgery cannot cure blepharoid sewage.
The surgical method is determined in consideration of various factors such as the cause of the occurrence of eyelid sewage, the strength of the eyelid muscles, the degree of skin sagging, the location of the eyebrows, and the presence or absence of an ophthalmic disease, and requires a diagnosis from an experienced specialist. Professor Zhang "Not only functional recovery, but also left-right symmetry and cosmetic results should be considered important."," he added.
Although there are studies that sometimes show that blepharous sewage can cause astigmatism, Professor Jang explained that "it has not been clearly proven to be relevant in actual clinical practice, and it is rare that vision itself deteriorates due to blepharous sewage.".
In adults, the timing of ophthalmic sewage surgery can be determined according to individual discomfort, but in the case of congenital ophthalmic sewage, it can affect vision development and is related to diseases such as amblyopia, so early diagnosis and treatment are important.
Professor Jang Sun-young said "Eyelid sagging due to aging is a natural change that can occur to anyone, but if it causes a functional problem, active diagnosis and treatment are required."
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This article was translated by Naver AI translator.
