The baby was born with one eye larger than the other? It may be caused by this disease

I wonder if you have ever encountered this situation: the baby is born with one eye larger than the other, and this symptom becomes more and more obvious after 3 months. This symptom may be that the baby suffers from ptosis. Today, Zhao Min, deputy leader of the orbital and ocular plastic surgery group of Aier Eye Hospital Group and deputy chief physician of the eyelid and orbital disease/ocular plastic surgery department of Aier Eye Hospital Affiliated to Wuhan University (Aier Eye Hospital Hubei General Hospital), will tell you about ptosis.

The baby's eyes may be different in size, which may be a disease

Ptosis is actually congenital, which means that a child is born with smaller eyes than his peers, or one eye is larger than the other.

Some parents will find that the droopy eyes do not open, and will not open until seven days after birth. Because the drooping upper eyelids block the line of sight, the child will raise his eyebrows when looking at things, resulting in forehead wrinkles. In addition, tilting the head or tilting the head will also affect the line of sight and the development of vision.

What are the dangers of not treating ptosis for a long time?

Generally speaking, severe ptosis means that the drooping upper eyelid has covered the entire pupil area of ​​the pupil, and the child cannot see anything.

If he had binocular vision, he might have looked up at things.

If it is a single eye, the child will often use the unobstructed eye to see things, and the affected eye can basically not be opened, and the pupil has been blocked. Therefore, ptosis will affect the baby's vision development.

Treatments for ptosis

There are two main ways to correct ptosis.

One is the shortening of the levator palpebrae superioris muscle. The patient's levator palpebrae superioris muscle strength must reach a certain level before surgery can be performed.

Another method is to use the frontalis muscle suspension surgery to use the power of the frontalis muscle to raise the upper eyelid. There are many types of frontalis muscle suspension, the most common of which is the frontalis muscle flap suspension. Another method is to use materials such as silicone and autologous fascia lata according to the patient's condition.

How long does it usually take to have a follow-up after surgery?

Generally speaking, the surgery is performed as early as possible before school age, between three and four years old.

After surgery, patients are advised to have a follow-up checkup every two weeks or one month, and then every three to six months.

Director Zhao Min reminds parents that children with ptosis usually have refractive errors, such as astigmatism, myopia, and hyperopia. Therefore, patients need to wear glasses in time according to the actual situation. Patients with amblyopia should wear glasses in time to correct and treat amblyopia.