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PtosisPPtosisPtosisEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2020-10-05T04:00:00Z7.1000000000000068.40000000000001325.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how ptosis is treated and how to care for your child after the surgery.</p><h2>What is ptosis?</h2><p>Ptosis (say: TOE-sis) is when your child has a droopy eyelid or eyelids. </p><h2>What causes ptosis?</h2><p>Ptosis is caused by weakness of the muscle that lifts the upper eyelid. The most common cause in children is an undeveloped muscle (levator papebrae superiosis). Children are usually born with ptosis. In a few cases, ptosis may be caused by an accident or a brain problem. Ptosis can involve one or both eyelids.<br></p><p>Your doctor may do tests to find out the cause of your child's ptosis or refer your child to other specialists for advice. </p> <figure class="asset-c-80"> <span class="asset-image-title">Ptosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Ptosis_MED_ILL_EN.jpg" alt="Face with one normal eye and one drooping upper eyelid" /> <figcaption class="asset-image-caption">A drooping upper eyelid is called Ptosis.</figcaption></figure> <figure class="asset-c-80"><span class="asset-image-title">Eye muscles: Side </span><span class="asset-image-title">view</span><img src="https://assets.aboutkidshealth.ca/akhassets/Eye_muscles_side_view_MED_ILL_EN.jpg" alt="Illustration of the levator palpebrae superiosis" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"> levator palpebrae superioris muscle is the muscle responsible for lifting the upper eyelid.</figcaption> </figure><h2>Key points</h2> <ul> <li>Ptosis is when your child has a droopy eyelid or eyelids. </li> <li>Ptosis is usually caused by a weakness of the muscle that lifts the upper eyelid. </li> <li>Your child's eye doctor will discuss which surgery is best for your child. </li> <li>Pain medicine, antibiotics and cool compresses will reduce pain, swelling and the chance of an infection after the surgery. </li> </ul><h2>When to call the doctor</h2><p>Call your child's eye doctor if, after the operation: </p><ul><li>your child cannot see properly</li><li>your child has a fever</li><li>you see a lot of bleeding in your child's eye patch/dressing</li><li>your child's pain gets worse and does not improve despite Tylenol</li><li>your child's eye suddenly gets more puffy </li><li>your child's eye starts bleeding </li><li>there is any green or yellow discharge.</li></ul><p>If your child's operation took place at The Hospital for Sick Children, please page the ophthalmology resident on-call. You can page the ophthalmology resident on-call through The Hospital for Sick Children Locating at 416-813-7500.<br></p><h2>Treatment for ptosis</h2><p>Your child will need surgery if the ptosis affects their vision. Different types of surgeries can correct ptosis. Your eye doctor will discuss with you which surgery is best for your child and the risks involved with any surgery. </p><h2>Surgery for ptosis<br></h2> <p>There is no single type of surgery for ptosis. Your eye doctor will explain what will happen during the surgery that is chosen for your child. </p> <p>Before the surgery, your child will have a medicine called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This will make sure your child sleeps through the operation and does not feel any pain. </p> <p>The operation is done as a day surgery. This means that your child will not stay in the hospital overnight afterwards.</p><h2>What to expect after your child's surgery</h2> <h3>Pain or discomfort</h3> <p>Your child may have some pain in the operated eye. Ask your child's eye doctor if you can give medicine to relieve the pain.</p> <h3>Eye patch</h3> <p>A tight patch is usually put on your child's affected eye after the surgery and removed the next day at home. Your eye doctor will tell you when to remove the patch. It is important to leave the patch on the first night to help with healing and avoid bleeding.<br></p> <h3>Puffy eyelids and bruising</h3> <p>Your child's eyelids may be puffy, bruised and swollen after the surgery. You may notice small stitches on the operated eyelid(s). The stitches will dissolve over time, usually in around one to two weeks.<br></p> <h3>Pink discharge or bleeding</h3> <p>Your child may have small amounts of slightly pinkish discharge or bleeding from the operated area for the first day. If this happens, you can stop the bleeding by gently wiping the operated area with a clean gauze or clean towel and applying gentle pressure for a few minutes. Call your eye doctor if the discharge or bleeding continues or if the discharge becomes yellow or green.</p> <h3>Eyelid height</h3> <p>Your child's eyelids may still look uneven after the operation. It may take several weeks for your child's eyelid to reach its final height. </p><p>American Academy of Ophthalmology: <a href="https://www.aao.org/eye-health/diseases/what-is-ptosis">What is ptosis?</a></p><p>American Association for Pediatric Ophthalmology & Strabismus: <a href="https://aapos.org/glossary/ptosis">Ptosis</a></p>
PtosePPtosePtosisFrenchOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2012-08-13T04:00:00Z7.0000000000000071.00000000000001209.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Vous apprendrez comment on traite la ptose et comment prendre soin de votre enfant après l’opération.</p><h2>Qu’est-ce que la ptose?</h2><p>La ptose qualifie le fait que votre enfant ait une ou les deux paupières tombante(s). </p><h2>Qu'est-ce qui provoque la ptose?</h2><p>La ptose est causée par une faiblesse du muscle qui soulève la paupière supérieure. Les enfants naissent généralement avec la ptose. Dans de rares cas, un accident ou un problème au cerveau peut aussi causer la ptose. </p><p>Pour découvrir la cause de la ptose de votre enfant, votre m​édecin pourrait faire des tests ou demander conseil à un autre médecin.</p> <figure class="asset-c-80"><span class="asset-image-title">Ptose</span><img src="https://assets.aboutkidshealth.ca/akhassets/Ptosis_MED_ILL_FR.jpg" alt="Visage avec un œil normal et l’autre avec un abaissement de la paupière supérieure" /><figcaption class="asset-image-caption">La ptose est un abaissement de la paupière supérieure.</figcaption> </figure><h2>À retenir</h2> <ul> <li>La ptose qualifie le fait d'avoir une ou les deux paupières tombante(s).</li> <li>La ptose est causée par la faiblesse du muscle qui soulève les paupières supérieures.</li> <li>Le médecin de votre enfant vous parlera de la meilleure opération pour votre enfant.</li> <li>Les médicaments contre la douleur, les antibiotiques et les compresses d’eau froide réduiront la douleur, l’enflure et le risque d’infection après l’opération. </li> </ul><h2>Quand appeler le médecin</h2> <p>Appeler le médecin qui a fait l’opération si :</p> <ul> <li>votre enfant ne peut pas voir correctement;</li> <li>la douleur empire;</li> <li>votre enfant a des problèmes d’estomac;</li> <li>l’œil devient soudainement plus boursoufflé, ou l’enflure s’exacerbe;</li> <li>l’œil saigne;</li> <li>il y a des écoulements jaunes ou verdâtres.</li> </ul> <h3>Inscrivez ici les nom et numéro de téléphone du médecin de votre enfant:</h3> <p><strong>Nom:</strong> _________________________________________________</p> <p><strong>Numéro de téléphone:</strong> ___________________________________</p><h2>Traitement de la ptose</h2><p>Votre enfant aura besoin d’une opération pour corriger sa ptose. Différents types d’opérations peuvent corriger la ptose. Le médecin vous parlera de la meilleure option chirurgicale pour votre enfant et des risques associés à toute chirurgie. </p> <figure class="asset-c-80"><span class="asset-image-title">Muscles de l'œil : vue latérale</span><img src="https://assets.aboutkidshealth.ca/akhassets/Eye_muscles_side_view_MED_ILL_FR.jpg" alt="Illustration du muscle releveur de la paupière supérieure" /><figcaption class="asset-image-caption">Le muscle releveur de la paupière supérieure est celui qui permet d'ouvrir l'œil. </figcaption> </figure><h2>Opération chirurgicale de la ptose</h2> <p>Il existe de nombreuses d’opérations de la ptose. Le médecin vous expliquera ce qui se passera durant l'opération choisie pour votre enfant.</p> <p>Avant l'opération, on donnera à votre enfant un médicament qui le fera dormir appelé anesthésie générale. L'anesthésie fera dormir votre enfant pendant toute l'intervention et il ne ressentira aucune douleur.</p> <p>Cette intervention est une chirurgie ambulatoire, ce qui veut dire que votre enfant ne passera pas la nuit à l’hôpital après l’opération.</p><h2>À quoi s’attendre après l’opération</h2> <h3>Douleur et inconfort</h3> <p>Votre enfant pourrait avoir mal à l'œil après l'opération. Demandez au médecin si vous pouvez donner des médicaments contre la douleur à votre enfant.</p> <h3>Pansement oculaire</h3> <p>On place habituellement après l’opération sur l’œil de votre enfant un pansement à retirer la journée suivante. Votre médecin vous dira quand retirer le pansement. </p> <h3>Paupières boursoufflées et ecchymosées</h3> <p>Il se peut que les paupières de votre enfant soient boursoufflées et ecchymosées (bleues) après l’opération.​​</p> <h3>Écoulements roses ou saignements</h3> <p>Il se peut que de petites quantités de liquide rosâtre ou de sang s’écoulent du site après la première journée. Si cela se produit, utilisez un pansement propre pour faire une légère pression sur le site. Appelez votre médecin si l’écoulement ou le saignement continue, ou s’il devient jaune ou vert.</p> <h3>Hauteur de la paupière</h3> <p>La paupière de votre enfant pourrait encore être tombante après l’opération, et vous pourriez devoir attendre plusieurs semaines avant que la paupière de votre enfant atteigne sa hauteur permanente.</p><h2>À l'hôpital SickKids</h2> <p>Si l’ophtalmologiste qui a opéré votre enfant n’est pas disponible, veuillez appeler au 416-813-7500 et demandez à parler à l’ophtalmologiste de garde.</p>

 

 

 

 

Ptosis1032.00000000000PtosisPtosisPEnglishOphthalmologyChild (0-12 years);Teen (13-18 years)EyesNervous systemProceduresCaregivers Adult (19+)NA2020-10-05T04:00:00Z7.1000000000000068.40000000000001325.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how ptosis is treated and how to care for your child after the surgery.</p><h2>What is ptosis?</h2><p>Ptosis (say: TOE-sis) is when your child has a droopy eyelid or eyelids. </p><h2>What causes ptosis?</h2><p>Ptosis is caused by weakness of the muscle that lifts the upper eyelid. The most common cause in children is an undeveloped muscle (levator papebrae superiosis). Children are usually born with ptosis. In a few cases, ptosis may be caused by an accident or a brain problem. Ptosis can involve one or both eyelids.<br></p><p>Your doctor may do tests to find out the cause of your child's ptosis or refer your child to other specialists for advice. </p> <figure class="asset-c-80"> <span class="asset-image-title">Ptosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Ptosis_MED_ILL_EN.jpg" alt="Face with one normal eye and one drooping upper eyelid" /> <figcaption class="asset-image-caption">A drooping upper eyelid is called Ptosis.</figcaption></figure> <figure class="asset-c-80"><span class="asset-image-title">Eye muscles: Side </span><span class="asset-image-title">view</span><img src="https://assets.aboutkidshealth.ca/akhassets/Eye_muscles_side_view_MED_ILL_EN.jpg" alt="Illustration of the levator palpebrae superiosis" /><figcaption class="asset-image-caption">The</figcaption><figcaption class="asset-image-caption"> levator palpebrae superioris muscle is the muscle responsible for lifting the upper eyelid.</figcaption> </figure><h2>What can happen if your child has ptosis?</h2> <ul> <li>If the droopy eyelid interferes with your child's vision, <a href="/Article?contentid=835&language=English">amblyopia</a> ("lazy eye") may occur. </li> <li>Your child may have to tilt their head back to see from under the droopy lid(s). </li> <li>A droopy eyelid may cause your child to look like they are sleepy, not paying attention or not interested. Other people's reactions to your child's appearance may affect their self-image.</li> </ul><h2>Key points</h2> <ul> <li>Ptosis is when your child has a droopy eyelid or eyelids. </li> <li>Ptosis is usually caused by a weakness of the muscle that lifts the upper eyelid. </li> <li>Your child's eye doctor will discuss which surgery is best for your child. </li> <li>Pain medicine, antibiotics and cool compresses will reduce pain, swelling and the chance of an infection after the surgery. </li> </ul><h2>How to care for your child after ptosis surgery</h2><h3>Cool water compresses</h3><p>Some eye doctors will suggest putting cool water or ice water compresses on the eyes to ease discomfort and reduce the swelling after surgery. Ask your child's eye doctor if your child can have cool compresses.</p><p>To make a cool compress, follow these steps:</p><ol><li>Always <a href="/Article?contentid=1981&language=English">wash your hands</a> before and after you touch your child's eyes.</li><li>Fill a clean container with cool water. Cool tap water is fine. If you have well water, boil it and cool it in the refrigerator before you use it.</li><li>Soak a clean face cloth in the water.</li><li>Squeeze any extra water out of the cloth, then place the cloth on the swollen eye(s).</li><li>Leave the cloth on for no more than two minutes at a time.</li><li>Repeat a few times.</li></ol><p>Ask the eye doctor how often your child can have a cool compress. Several times a day for the first one to two days is often fine. </p><h3>Sleeping</h3><p>If you can, try to let your child sleep with their head raised on one or two pillows. This will help to bring down any swelling and puffiness. For babies, toddlers and pre-school children, put the pillows under the mattress to raise the head of the bed. </p><h3>Eye ointment and eye drops</h3><p>Your child will need antibiotic ointment on the operated eye(s). Make sure you get the prescription from the eye doctor and follow the instructions for <a href="/Article?contentid=996&language=English">applying the ointment</a>. </p><p>Sometimes, your eye doctor will also order antibiotics or a combination of cortisone and antibiotic drops for the operated eye(s). If your child needs eye drops, your child's eye doctor will give you a prescription. It is very important to <a href="/Article?contentid=995&language=English">put in the eye drops</a> correctly. </p><h3>Gentle play only for the first week</h3><p>For the first week after the surgery, your child can do light activities such as playing gently indoors, using computers and watching TV. </p><p>During this time, your child will need to avoid rough activities, sandbox play or contact sports such as soccer, hockey or anything else that would cause them to bump into another child. </p><p>Your child should also avoid bending and any activities that could cause them to get out of breath. Ask your child's doctor when your child can return to normal activities.</p><h3>Baths and showers</h3><p>Ask your child's eye doctor about baths and showers. Some eye doctors prefer your child to take a bath instead of a shower for the first week after surgery. </p><p>Please check with your child's eye doctor if it is ok to wash your child's hair, as the water could run over their eyes. If you can wash your child's hair, make sure you avoid getting soap or shampoo in their eyes. </p><p>Only wash your child's face with a clean face cloth and water. </p><h3>School and day care</h3><p>Generally, children should not go to school or day care for the first one or two days after the surgery, sometimes longer. Please check with your child's eye doctor. Tell your child's caregiver or teacher about any activities that your child must avoid while the eye heals. </p><h3>Swimming</h3><p>Swimming is not allowed for at least one week after the surgery. Please ask your child's eye doctor when your child can return to swimming.</p><h2>When to call the doctor</h2><p>Call your child's eye doctor if, after the operation: </p><ul><li>your child cannot see properly</li><li>your child has a fever</li><li>you see a lot of bleeding in your child's eye patch/dressing</li><li>your child's pain gets worse and does not improve despite Tylenol</li><li>your child's eye suddenly gets more puffy </li><li>your child's eye starts bleeding </li><li>there is any green or yellow discharge.</li></ul><p>If your child's operation took place at The Hospital for Sick Children, please page the ophthalmology resident on-call. You can page the ophthalmology resident on-call through The Hospital for Sick Children Locating at 416-813-7500.<br></p><h2>Follow-up appointments</h2> <p>You will need to bring your child to a follow-up appointment, usually one to two weeks after the operation.</p> <h3>Write the date and time of the follow-up appointment here:</h3> <p>____________________________________________________________________</p> <p>Sometimes, your child may need to have a second operation. The eye doctor will discuss this with you.</p><h2>Treatment for ptosis</h2><p>Your child will need surgery if the ptosis affects their vision. Different types of surgeries can correct ptosis. Your eye doctor will discuss with you which surgery is best for your child and the risks involved with any surgery. </p><h2>Surgery for ptosis<br></h2> <p>There is no single type of surgery for ptosis. Your eye doctor will explain what will happen during the surgery that is chosen for your child. </p> <p>Before the surgery, your child will have a medicine called a <a href="/Article?contentid=1261&language=English">general anaesthetic</a>. This will make sure your child sleeps through the operation and does not feel any pain. </p> <p>The operation is done as a day surgery. This means that your child will not stay in the hospital overnight afterwards.</p><h2>What to expect after your child's surgery</h2> <h3>Pain or discomfort</h3> <p>Your child may have some pain in the operated eye. Ask your child's eye doctor if you can give medicine to relieve the pain.</p> <h3>Eye patch</h3> <p>A tight patch is usually put on your child's affected eye after the surgery and removed the next day at home. Your eye doctor will tell you when to remove the patch. It is important to leave the patch on the first night to help with healing and avoid bleeding.<br></p> <h3>Puffy eyelids and bruising</h3> <p>Your child's eyelids may be puffy, bruised and swollen after the surgery. You may notice small stitches on the operated eyelid(s). The stitches will dissolve over time, usually in around one to two weeks.<br></p> <h3>Pink discharge or bleeding</h3> <p>Your child may have small amounts of slightly pinkish discharge or bleeding from the operated area for the first day. If this happens, you can stop the bleeding by gently wiping the operated area with a clean gauze or clean towel and applying gentle pressure for a few minutes. Call your eye doctor if the discharge or bleeding continues or if the discharge becomes yellow or green.</p> <h3>Eyelid height</h3> <p>Your child's eyelids may still look uneven after the operation. It may take several weeks for your child's eyelid to reach its final height. </p><p>American Academy of Ophthalmology: <a href="https://www.aao.org/eye-health/diseases/what-is-ptosis">What is ptosis?</a></p><p>American Association for Pediatric Ophthalmology & Strabismus: <a href="https://aapos.org/glossary/ptosis">Ptosis</a></p>https://assets.aboutkidshealth.ca/akhassets/Eye_muscles_side_view_MED_ILL_EN.jpgPtosisFalse

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