FALLEN LIDS Droops, Diagnosis, and Direction
Have you ever heard of an eye condition called ptosis ? If so, do you know how to pronounce it?
great short-term, non-surgical option. This FDA-approved solution can lift drooping eyelids for 6–8 hours by temporarily lifting a part of the lids called the Müller’s muscle . I like to call Upneeq “Cinderella Drops” because they give patients a nice lift to their eyelids for many hours before returning them to their previous position. While Upneeq is generally harmless, individuals with narrow-angle glaucoma or cardiac conditions should consult their physician to discuss possible risks and side effects. When a patient presents with complaints of “droopy eyelids,” their examination needs to distinguish between droopiness of the brow, redundant upper eyelid skin, referred to as dermatochalasis, or true eyelid ptosis. As you might expect, the correct treatment varies widely based on what is actually causing the droopiness. Of course, I can only cover so much about ptosis in a brief article. Please contact me if you’d like more information or to discuss your specific eyelid- related issue. Together, we can eliminate the droop once and for all!
Over the years, several patients have told me, “I think I have pa- tosis.” I’ll reply, “Well, I’m going to pa -fix you!” All kidding aside, it’s pronounced toe-sis . Allow me to explain what it is and how it can be treated. “Ptosis” is shorthand for blepharoptosis , a fancy word for droopy upper eyelids caused by improperly positioned eyelids. Although ptosis can appear at birth, it’s commonly the result of natural aging. When ptosis occurs, the upper eyelid margin gets too close to the pupil. The more the eyelids droop over time, the more a person’s vision is constricted. Patients frequently benefit from corrective procedures that fix the ptosis internally underneath the upper eyelid, which is how I approach it, or externally via the levator muscle . I’ve successfully performed several thousand ptosis surgeries over the years. Recovery from ptosis surgery is generally smooth, with most patients reporting only minor swelling and bruising and slightly increased eye dryness. However, patients with severe eye dryness typically aren’t good candidates for this procedure. Instead, a prescription eye drop called Upneeq is often a
Apple-Cranberry Salad
INGREDIENTS • 6 slices of bacon •
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3/4 cup dried cranberries 1 Honeycrisp apple, peeled and thinly sliced 1/4 red onion, thinly sliced
1/3 cup balsamic vinaigrette
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1/3 cup olive oil 2 tbsp raw honey
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8 oz fresh baby spinach, rinsed and dried
1/2 cup feta cheese
DIRECTIONS 1. In a large skillet, cook bacon until crispy. Remove it from the pan and set on a paper towel-lined plate to cool. 2. In a small bowl, whisk together balsamic vinaigrette, olive oil, and honey. Set aside. 3. In a large bowl, add spinach, cranberries, apple slices, red onion, and feta. Crumble bacon pieces over the top. Use salad forks to toss ingredients thoroughly. 4. Add dressing to the salad and toss again until well-coated.
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