The physical examination should include an evaluation of the amount of skin on the upper and lower lids; distribution of orbital fat; vector of the lower eyelid; and physical characteristics of the skin including degree of elasticity and pigmentation. It may be necessary for patients with a history of dry eye to undergo a Schirmer’s test. Ptosis of the upper eyelid is determined by measuring the palpebral fissure width and margin reflex distance. Levator excursion is also assessed. Visual field assessment is required for functional Lasik surgery.
Stitches are removed three to five days after surgery, except in the case of transconjunctival surgery of eye where the self dissolving sutures require no removal. Possible complications associated with Lasik eye surgery include bleeding and swelling, delayed healing, infection, drooping of upper or lower eyelid, asymmetry, double vision, and dry eye. It is important to note that the puffiness of the fat pockets may not return, but normal wrinkling and aging of the eye area will continue.The Laser eye surgery is a procedure that reconstructs eyelid deformities, improves abnormal function and enhances appearance of the eyelids.
The cataract lens can enhance your appearance and help build your confidence. However, it may not result in your ideal look or alter your facial structure. Before you decide to have surgery, think about your goals and discuss them with your surgeon. As we age, the delicate skin around the eyes can appear puffy or saggy. Eyelid skin stretches, muscles weaken, and the normal deposits of protective fat around the eye bulge. The surgical procedure to remove excess eyelid tissues is also done. Decreased atmospheric pressure at higher altitudes has not been demonstrated as extremely dangerous to the eyes of patients.
Some of the important issues to keep in mind include:
Upper eyelid surgery is often carried out separately from lower eyelid surgery. Be prepared for two separate operations
Lasik can remove dark circles under the eyes, lift sagging eyebrows or get rid of crow’s feet
Think about the financial cost. Cosmetic surgery does not usually qualify for rebates from Medicare or private health insurance companies
Smokers are at increased risk of complications. If you are serious about undergoing surgery, you should try to quit smoking
Finding a best eye surgeon for choosing the cataract lens for the patient without causing any defects
The information you are given regarding any treatment you are considering should be impartial and should include all risks and benefits.
Do not be satisfied with just a surgeon's word that he/she is a surgeon. Make sure you find out yourself. Go to national organizations or boards and find out whether the supposed surgeon really is qualified.
Beware of non-refundable deposits and free consultations.