#mirieye

[chuaoxford]

Unilateral ptosis (droopy eyelids), unless obvious, may not be easily detected. Although mild ptosis is usually of no funtional or cosmetic significance, its detection is important in patients who want to undergo upper blepharoplasty such as Asian blepharoplasty (double eyelid surgery) as the creation of a higher skin crease usually exaggerate the ptosis. One way of detecting unilateral subtle ptosis is to take a flash photo of the face with patient looking straight and look out for the following signs in the photo: a. The distance between the pupil reflex and the upper eyelid margin (this is decreased in the eye with ptosis); b. The difference in the show of the double eyelid (skin crease) if this is present. In ptosis the show of the double eyelid is increased and c. The height of the eyebrows. Patient with unilateral ptosis will normally raise the eyebrow unconsciously in an attempt to keep the eye open. These three patients who came for upper blepharoplasty had unilateral ptosis and exhibited all the three signs mentioned above. Top picture showed a right mild ptosis, middle picture left and bottom picture left mild ptosis. #ptosis #senileptosis #involutionalptosis #eyelidsurgery #droopyeyelids #blepharoplasty #malaysiaeye #malaysiaeyespecialist #malaysiaoculoplastic #oculoplastic #eyespecialist #kualalumpureye #optimax #penangoptimax #ttdioptimax #kuchingeyespecialist #kuchingoptimax #sibuisec #isecsibu #mirieye #miricolumbiaasia #isec #columbiaasia #chuachungnen #chuaeye #眼皮 #👀 #蔡钟能眼科医生 #马来西亚眼科医生

[chuaoxford]

Sometimes patient with Ptosis may not be aware of it until pointed out by the doctor. This patient came for eyebag consultation saying they made her look tired. However, she also had bilateral ptosis (being worse on the left as shown by higher left brow heigh) which added to her tired look and unless corrected simultaneously would not improve her overall appearance. She agreed to bilateral lower blepharoplasty (fat repositioning with orbicularis flap) combined with bilateral upper blepharoplasty and ptosis correction. #ptosis #contactlenssideeffect #droopyeyelid #posteriorapproachptosis #optimax #isec #columbiaasiahospital #malaysiaeyedoctor #chuachungnen #kuchingeyedoctor #sibueyedoctor #sibueyespecialist #mirieyedoctor #mirieye #蔡钟能眼科医生 #眼 #👀 #眼皮 #lowerblepharoplasty #eyebag

[chuaoxford]

This 80-year-old was alarmed by a rapidly growing pigmented mass in the lower lid. Fortunately, biopsy was benign and she underwent excision with rotation flap. The pictures show the condition before operation. During operation and one week after operation. #eyelidtumour #eyelidtumor #eyelidlesion #eyelidreconstruction #eyelid #rotationflap #chuachungnen #optimax #isec #columbiahospital #rejangmedicalcentre #penang #kualalumpureye #eyespecialist #columbiahospitalmiri #mirieye #isecsibu #sibueye #sibuisec #sibu #kuching #kuchingoptimax #optimaxkuching #eye #eyespecialistmalaysia #eyespecialist #ophthalmology #ophthalmologist #蔡钟能眼科医生 #眼睛 #眼皮

[chuaoxford]

Headache and problem reading in an 80-year-old woman due to ptosis (droopy eyelid). The problems disappear after correction of ptosis. #sarawak #malaysia #sarwakeyespecialist #penang #kualalumpur #eyespecialistmalaysia #kuchingeye #kuchingoptimax #optimaxkuching #isecsibu #sibuisec #rejangmedicalcentre #mirieye #brunei #bruneieye #pontianak #singapore #columbiaasiahospital #chuachungnen #droopyeyelid #ptosis #kualalumpureye #oculoplastic #bopss #posteriorptosis #conjunctivomullerectomy

[chuaoxford]

Contact lens wear (both hard and soft) is a known risk factor for Ptosis (droopy eyelid) in people under age of 35. The reasons may be : a. Stretching of the eyelid during contact lens insertion and removal and b. Low grade inflammation from contact lens may weaken the eyelid structure. This 35-year-old woman had been a contact lens wearer for over 20 years in the past 2 years she noticed the left eye had become progressively more droopy. Examination showed no neurological causes and a posterior approach ptosis correction restored the lid to the desirable level. #droopyeyes #droopyeyelid #ptosis #contactlens #blepharoplasty #optimax #isec #columbiaasiahospital #malaysiaeyedoctor #ophthalmology #oculoplastic #kuchingeye #sibueye #sibuisec #isecsibu #mirieye #penangoptimax #chuachungnen #eyelidexpert #蔡钟能眼科医生 #眼睛 #眼皮 #👀

[chuaoxford]

Correction of congenital convergent squint (esoteopia). #chuachungnen #esotropia #convergentsquint #rejangmedicalcentre #sibu #sibuisec #isec #optimax #columbiaasia #mirieye #miriophthalmologist #sibueye #sibueyespecialist #sarawak #malaysia #isecsibu #optimaxkuching #ophthalmology #eye #吉隆坡 #砂捞越 #砂捞越美里 #古晋 #诗巫 #美里 #蔡钟能眼科医生 #斗鸡眼 #斜视