Eyelid disorders treatment
The eyelids protect the eye from external mechanical damage. Inflammation, misalignment, injuries, mobility disorders or tumours of the eyelids can therefore lead to impairment of eyesight. Diseases of the eyelids can therefore have various causes and symptoms. Accordingly, the treatment will differ from surgical, laser, or antibiotics to symptomatic.
The eyelids (upper and lower) protect the eyeball's front surface from any damage coming from outside. It also contributes to the moistening of the cornea and conjunctiva. The eyelid consists of skin, connective tissue, glands, muscles and eyelashes. What eyelid diseases have in common is that, in most cases, they are harmless, and they heal on their own.
The function of the eyelids is ensured by muscles, band-like structures of the eyelid and corresponding nerve fibres. Atrophy of the muscles, slackening of the ligaments (loss of elasticity) or injuries to nerves (paralysis) lead to misalignments and functional disorders of the eyelid. Common examples of this are:
- Ectropion is an outward tilting of the eyelid.
- Entropion is an inward tilting of the lid.
- Drooping of the upper eyelid - ptosis.
- Lagophthalmos is a malfunction of the eyelids when they do not close completely. The eye slit remains open even during sleep.
- Retraction of the eyelid - a white strip of the sclera is visible between the eyelid and the cornea due to muscle hyperactivity or contracture.
- Blepharochalasis is recurrent swelling of the eyelids that results in drooping of the upper edge.
- Blepharophimosis is a decrease in the size of the fissure, most often due to the fusion of the edges of the eyelids.
Other disorders are associated with increased growth of hair of eyelids (hypertrichosis) or wrong growth of eyelashes towards the eyeball (trichiasis of eyelid). For example, xanthelasma (benign neoplasm in the form of yellow spots), foreign body and parasitic infestation of the eyelid are also common disorders. Ankyloblepharon is a rare anomaly accompanied by a partial or complete fusion of the edges of eyelids, which looks like a scar.
The symptoms can come from the skin, muscles or glands. In the initial stage, they manifest with redness of the eyes, a feeling of dryness, burning or foreign body in the eye, deterioration of vision or constant "blurring", pain and discomfort. A noticeable slit at the site of the lesion, the eyelid lagging behind the eyeball and constant tearing is also prevalent signs.
Doctors specialised in eyelid diseases - ophthalmologists or ophthalmic surgeons can correctly diagnose eyelid disorders and provide effective treatment. Physicians choose the best treatment tactics for each patient, considering the specifics of the eyelid disease, its impact on life and examination data. For some disorders, observation is the best option. For others - surgical correction of the defect and medication (drops, ointments) treatment.
Where can I get Eyelid disorders treatment?
What are the best clinics for Eyelid disorders treatment?
Who are the best doctors for Eyelid disorders?
Prof. Dr. med. Mathias Maier from University Hospital rechts der Isar Munich
Dr. med. Detlef Deiermann from Academic Hospital Bundeswehr Berlin
Prof. Dr. med. Thomas Kohnen from University Hospital Frankfurt am Main of Goethe-University
Prof. Dr. med. Siegfried Priglinger from University Hospital Ludwig-Maximilians Munich
PD. Dr. med. Ira Seibel from Helios Hospital Berlin-Buch