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.






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。