Childhood Eyelid Problems

Common surgery performed by oculoplastic surgeons: Childhood eyelid problems

Common surgery performed by oculoplastic surgeons: Childhood eyelid problems

Ophthalmologists that sub-specialise in eyelid surgery are known as oculoplastic surgeons. In addition to training in general ophthalmology, they need to do fellowships in well-known centres that specialise in eyelid surgery. 

Congenital eyelid problems can affect the visual development of children and may need early interventions. Here are some examples:

1. Ptosis aka droopy eyelids can block the vision by covering the pupil and cause lazy eye. However, even if the pupil were not occluded, the droopy eyelids can press on the cornea causing astigmatism which may need correction with glasses. Therefore, it is important for children with ptosis to have regular eye check.

2. Eyelid coloboma. This condition results from failure of normal eyelid fusion during foetal development. It causes eye exposure which if not treated can cause permanent corneal scarring.

3. Epiblepharon. In this condition the extra skin in the lower lid pushes the eyelashes backward causing them to rub on the eyes. The result is constant ocular discomfort and if untreated corneal scarring and poor vision.

4. Capillary haemangioma. This is a benign rumour of the blood vessels seen in newborns. Most cases regress spontaneously, however, if it affects the eyelid can cause problem with eye opening and visual development. Steroid injection is an effective way of apeeeing up its resolution. 

Dr Chua did his eye training in Oxford Eye Hospital (1997-2000) and did one year of eyelid training in South Thames Deanery, London.

眼部整形外科医生常见的手术:天生眼睑问题

从事眼睑(眼皮)手术专长的眼科医生也被称为眼科整形外科医生。除了接受一般眼科训练外,他们还需要在专门从事眼睑手术的知名中心进行訓练。

先天性眼睑问题会影响儿童的视力发育,可能需要提早治疗。以下是例子:

1。眼睑下垂。眼睑下垂会遮盖瞳孔,从而影响视力发育引起懒惰眼。就算眼睑没有蓋住瞳,下垂的眼睑也会压在角膜上引發散光,严重的話可能需要戴眼镜矫正。因此,上睑下垂的儿童需定期检查视力。

2。眼睑缺损。这是由于胎儿在发育过程中眼睑不能正常發展所致。它导致眼睛暴露,如果不及时治疗,可能会导致永久性眼角膜損傷。

3。眼瞼贅皮。 在这种先天性情况下,下眼睑有多余皮肤将睫毛向后推,導至睫毛摩擦眼睛。使到眼部不适,如果不及时治疗可使眼角膜受损和视力下降。

4。天生血管瘤。这是良性腫瘤,大多数情况下会自发退缩。但如果影响眼睑,可引起眼睛不能张开影响视力发育。类固醇注射可使它快速退縮。

蔡鐘能医生在牛津眼科医院接受眼科训练(1997-2000年),并在伦敦南泰晤士教务处进行了一年的眼睑手术训练。