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Omission century (Ptosis)
March 12, 2014
The ptosis – is translated from Greek as "falling". In medicine omission (change of situation) of any body is defined by this term. The ptosis of an eye is expressed by a blepharoptosis.
How omission is shown?
The ptosis of a century occurs both at children, and at adults. The ptosis of an upper eyelid can be inborn and acquired (it is shown owing to certain reasons). Depending on degree of manifestation of a disease the partial ptosis of an upper eyelid (a third of a pupil from above is closed) and an incomplete ptosis is defined full (the pupil is completely closed by an upper eyelid) (it is closed the two third a pupil).
There is also a classification depending on extent of defeat: at a unilateral form of an illness only the ptosis of the left century or right century is noted. At bilateral — two eyes are surprised at once. The ptosis of a lower eyelid is sometimes diagnosed.
Such pathology occurs not only at adults: rather widespread phenomenon – a ptosis at children.
If at the person the eye ptosis develops, can seem to it that it is not especially vital issue. The ptosis of the left eye or right eye initially seems only cosmetic defect. But it is worth to remember that such pathology is a serious hindrance for sight. It does not allow the patient to see fully, therefore, he should strain constantly eyebrows to exempt an eye from such hindrance. In certain cases it is necessary even to throw back the head back normally to see. Therefore with such disease quality of human life considerably worsens.
At patients the irritation often develops, fast fatigue of eyes as the person is forced to prilgat constantly efforts is noted to open for himself the normal overview. Often at such people squint, and also doubling in eyes develops. The person sometimes cannot close completely eyes, he limited mobility of an upper eyelid. Dryness in eyes is often felt. On the damaged organ of sight sight gradually worsens and the amblyopia – a sight deviation in one party is noted.
Why omission is shown?
Omission of a century can arise in connection with many reasons. The reasons of omission of a century which has inborn character are often connected with a hereditary factor. If at someone from parents omission of a century of an eye, that is probability was noted, then the child will have this disease also. As a rule, the reasons of a blepharoptosis of inborn type are connected with an underdevelopment of that muscle which provides a raising of an upper eyelid. Also inborn type of a disease can be connected with pathology of a kernel of a third cranial nerve, with weakness of an upper direct muscle of an eye. In more exceptional cases the inborn blepharoptosis is connected with some other pathologies (an alpebromandibulyarny syndrome, abnormally short palpebral fissure). Treatment of omission of a century in this case is carried out only after exact definition of the reason which provoked this disease.
The acquired omission of a lower eyelid and upper meets more often. In this case depending on an illness origin, the ptosis is subdivided into several versions. The reason is surely considered at diagnosis as treatment of omission of a lower eyelid depends on it. The fact that the patient needs correction of an upper eyelid is sometimes noticeable even by a photo.
Neurogenic ptosis — a consequence of paralysis of a third cranial nerve. Such symptom is observed at patients with tumors, diabetic neuropathy, intracranial aneurisms.
The myogenetic form of this symptom develops at patients with a myasthenia. In this case bilateral omission can be noted. Owing to load of eyes at the patient doubling develops.
The aponeurotic ptosis is characteristic of people of advanced age who have a muscle raising an eyelid gradually departs from a plate to which it is attached. As a result, the tension of a century and its fixing disappears. Such symptom can develop at the person who had an injury.
Mechanical form of a symptom – a consequence of scarring or a tumor therefore the eyelid was horizontally truncated.
Also false ptosis which reason too big skin folds over an eye are is defined. Also such phenomenon can be noted at people with squint and hypotonia of an eyeglobe
How to get rid of omission?
The doctor who carries out diagnosis reveals not directly a ptosis, and that reason which provoked emergence of this symptom. In the course of establishment of the diagnosis the doctor surely conducts detailed survey to learn when the disease was shown whether the ptosis at any of close relatives was observed, whether the person has chronic diseases. It is necessary to define surely, the inborn or acquired form of an illness takes place at the patient.
Standard ophthalmologic examination in the course of which visual acuity, disturbances of fields of vision, intraocular pressure is defined is surely conducted. Inspection of an eye is performed, also if necessary carrying out MPT and KT of a brain is appointed.
Treatment of a ptosis of an upper eyelid is carried out by a conservative and surgical method. How to cure a ptosis without operation, it is reasonable to learn only to those patients for whom the neurogenic form of a disease is diagnosed. In this case treatment of a ptosis of the person is carried out so that to recover functions of a nerve. Physiotherapeutic methods, topical treatment practice. If conservative correction of a ptosis does not yield a century results, so the patient needs operation. The ptosis is adjusted sometimes, temporarily fixing an eyelid a plaster, however this method is inconvenient, besides creates to the person cosmetic discomfort.
But omission treatment a century, as well as treatment of a gravitational ptosis of the person is the most frequent, it is carried out by a surgical method. Doctors warn that it is not necessary to postpone operation and to practice treatment of the house of a ptosis of an upper eyelid. It is especially important to define timely how to treat a ptosis of an upper eyelid if the child is sick. Children have an active forming of a bearing and organ of sight therefore the ptosis can affect the developing organism extremely negatively. Surgical intervention about it is not carried out to children who were not yet three years old as to this age still there is active forming of a palpebral fissure and a century. Small children can tighten skin an adhesive plaster, but for the night it should be removed. But such method practices only temporarily.
If insufficient mobility of a century is noted, it is fixed by a podshivaniye to a frontal muscle. Such operation does not provoke complications in the future. The muscle resection is in certain cases carried out. Also other options of carrying out surgical intervention are possible. As a rule, operation takes place using local anesthesia, takes place quickly and without strong pain. In 3-5 days seams are removed, in several days of people can lead a normal life. After an operative measure the recurrent disease in most cases does not develop.
In the absence of timely and correct treatment of a ptosis at the person squint, an amblyopia, decrease in sight develops over time.