Eyelids

This is a malposition of the eyelid which is no longer in contact with the eyeball.
It is responsible for tearing, redness, irritation in the eyes.
The most common cause is aging leading to a relaxation of the eyelid, sometimes it follows an accident (cicatricial ectropion) or paralysis (paralytic ectropion).
The treatment is only surgical.
It consists of putting the eyelid back in the correct position against the eyeball.
Different surgical techniques exist depending on the severity of the entropion.

Here is some information regarding this surgery:

Duration: 1 hour in outpatient surgery

Anesthesia: local with sedation

Procedure:

Anesthesia consultation before surgery
Fasting on the day of the operation
Leaving with a bandage that does not cover the eye
Be accompanied when leaving
Autonomy the same evening
Post-operative follow-up:

Do not play sports, put your head under water, or wear makeup for a week
Edemas and bruises are systematic and resolve in 15 days
Frequency of appointments:

D1: Appointment with Dr Bela to remove the bandage
D7: removal of suture threads
M1: final result

Entropion is a malposition of the eyelid that rolls up against the eyeball. Eyelashes and skin rub against the cornea and cause irritation, redness and tearing.
The most frequent cause is the aging of the eyelid (senile entropion) sometimes it follows an accident or a fibrosing pathology.
The treatment is mainly surgical consisting in repositioning the eyelid.
While waiting for surgery, an injection of botulinum toxin helps protect the patient's eye.

Here is some information regarding this surgery:

Duration: 1 hour in outpatient surgery

Anesthesia: local with sedation

Procedure:

Anesthesia consultation before surgery
Fasting on the day of the operation
Leaving with a bandage that does not cover the eye
Be accompanied when leaving
Autonomy the same evening
Postoperative follow-up:

Do not play sports, put your head under water, or wear makeup for a week
Edemas and bruises are systematic and resolve in 15 days
Frequency of appointments:

D1: Appointment with Dr. Bela to remove the bandage
D7: removal of sutures
M1: final result

This is a malposition of the upper eyelid which is too low and interferes with the field of vision.
The cause is either congenital (present from birth, ptosis of the child) or acquired.
In acquired ptosis the main cause is the aging of the eyelid (senile ptosis) but sometimes it can be a neurological cause (paralysis of a nerve of the third cranial pair) or muscular (myopathy or myasthenia).
The treatment is surgical, the technique will depend on the type of ptosis.

Here is some information regarding this surgery:

Duration: 1 hour in outpatient surgery

Anesthesia: local with sedation

Procedure:

Anesthesia consultation before surgery
Fasting on the day of the operation
Leaving with a bandage that does not cover the eye
Be accompanied when leaving
Autonomy the same evening
Postoperative follow-up:

Do not play sports, put your head under water, or wear makeup for a week
Edemas and bruises are systematic and resolve in 15 days
Frequency of appointments:

D1: Appointment with Dr. Bela to remove the bandage
D7: removal of sutures
M1: final result

The management of eyelid tumors is only surgical and will depend on the nature of the tumor. For this, a biopsy must be performed in the operating room to analyze the lesion. Once the diagnosis is made, Dr. Bela will perform a tumor excision which must be complete.

Thanks to the collaboration with an anapathomo-pathologist specialist present in the operating room, the tumor can be completely removed after verification on site that the excision limits are healthy.

Dr. Bela will then be able to reconstruct the eyelid so that there are no unsightly scars.

Sometimes this surgical treatment must be combined with additional radiotherapy if the tumor is too large or at risk of recurrence.

Here is some general information about this surgery:

Duration: 30 minutes to 2 hours depending on the size of the tumor, in outpatient surgery or with overnight hospitalization

Anesthesia: local with sedation or general anesthesia

Procedure:

Anesthesia consultation before surgery
Fasting on the day of the operation
Exit the same or next day with a dressing that covers the eye for 24 hours
Be accompanied when leaving
Postoperative follow-up:

Do not play sports, put your head under water, or wear makeup for a week
Edemas and bruises are systematic and resolve in 15 days
Frequency of appointments:

D1: Appointment with Dr. Bela to remove the bandage
D7 or D15: removal of suture threads according to surgical reconstruction
M1: final result