Thursday, July 13, 2017

A Patient with Headache and Blurred Vision.

This patient who had had cataract surgery 5 years ago complained of increasing blurriness of vision and headache. Examination did not show any opacities of the posterior capsule or any retina diseases, however, refraction showed high astigmatism of 2.00 D. In addition, she had excessively high eyebrows. The symptoms were attributable to droopy eyelids: astigmatism can occur when the droopy eyelids press on the globe and the headache due to constant use of the forehead muscle to elevate the eyebrows in an attempt to open the eyes.
After consultation, bilateral ptosis (droopy eyelid) surgery was done using the posterior approach. After the operation, her vision improved due to reduction of the astigmatism to -0.75 and the headache disappeared when the eyebrows returned to normal height.
Headache due to constant excessive use of forehead 
muscle to open the eyes.

One day after ptosis (droopy eyelid) operations.

Normal eye opening two weeks after droopy eyelid surgery.


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