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Overview

Ophthalmoplegia: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Ophthalmoparesis, chronic progressive external ophthalmoplegia, internuclear ophthalmoplegia, etc.

How is the treatment done?

Ophthalmoplegia is a condition associated with the weakness or paralysis of the muscles of the eye. It can affect either one or more than six muscles which control the movement of the eye and holds it in place. Ophthalmoplegia is usually of two types, internal ophthalmoplegia and chronic progressive external ophthalmoplegia. Internal or internuclear ophthalmoplegia occurs when there is damage to the nerve fibers which controls lateral eye movement. This can lead to double vision. Whereas, chronic progressive external ophthalmoplegia develops with drooping eyelids and leads to problem controlling the eye muscles which coordinates eye movement.

The treatment for ophthalmoplegia generally depends upon the underlying causes, symptoms and type. Many times, drooping eyelids can be the main cause of ophthalmoplegia, in such cases, the doctor can suggest a procedure known as a silicone sling. This procedure helps to elevate a drooping eyelid. Silicone sling procedure can also help cure an eye condition known as ptosis. Lid crutches or adhesive tape can also be used when the symptoms of drooping eyelid is not too advanced.

Who is eligible for the treatment? (When is the treatment done?)

In silicone sling procedure, a Seiff silicone suspension has to be used. The silicone is guided in the muscle through a stab incision. This procedure is highly popular and efficient because it includes early recovery, edema (minimum post operative scars), no multiple incisions and less surgical time. This procedure is ideal for patients with poor levator functions due to ophthalmoplegia. It provides more advantages as compared to standard sling procedures.

In children this procedure has to be performed under general anesthesia. The upper eyelid is coated with lidocaine and the area is cleaned and draped. A suprabrow stab incision is made of around 2.5 mm to 3 mm about 5 mm from the eyebrow. Then, a sterile Seiff silicone suspension is inserted. Precision and care has to be maintained so that the eye surgeon maintains the muscle plane through the entire procedure. When the incision mark is reached the needle is exteriorized after being pierced through the skin. The ends of the silicone rods are usually passed through the sleeve and knotted, the margin of the lid is adjusted according to the amount of correction required. In the end, a silk suture has to be tied in between the knots and is then buried below the subperiosteal pocket. The suprabrow incision is later closed with fibrin glue or a silk suture.

Who is not eligible for the treatment?

This procedure can be performed on both adults as well as children as it is a quick and non-invasive procedure. Silicone sling procedure can be used to treat severe blepharoptosis along with weak levator function. Other than different synthetic materials, silicone gives the best results. Patients with severe ptosis, drooping eyelids and ophthalmoplegia are also recommended silicone sling procedure most of the times.

Are there any side effects?

Silicone slings are better for children because they don’t scar as much as adults who might scar at a later age. In silicone sling procedure, it is strictly advisable for children to use silicone slings rather than other synthetic materials.

What are the post-treatment guidelines?

Complications are rare but can occur in certain cases. Some side effects include late recurrence of ptosis, bilateral chronic eyelid edema, the sling can be exposed in the forehead through the incision, suture granuloma, undercorrection, lagophthalmos and significant eyelid drooping. Silicone is extremely safe for frontalis suspension in patients with ophthalmoplegia, chronic inflammation, sling exposure, granuloma formation and recurrence of drooping eyelids is still possible if the surgery is not performed properly.

How long does it take to recover?

After the procedure, patients have to go through ptosis examination which includes measurement of lid fissure height (distance between the lower and upper lid margins), eyelid crease height, light reflex, eye movement, eye coordination and eyesight. Other than this, postoperative side effects such as granuloma formation, undercorrection, overcorrection and corneal surface disorders are also evaluated.

If you have been given general anesthesia, you will have to rest or stay for a day at the hospital till the effects of the anesthesia wear out. In case of local anesthesia, you can go home as soon as you feel ready. The upper eyelid can be swollen and bruised for around 10 days soon after the operation. Ointment and antibiotic drops will be prescribed till two to three weeks after the procedure. It can usually take some time for you to notice the full effects of the silicone sling procedure.

What is the price of the treatment in India?

A lot of people in the beauty and fashion industry also get this procedure done if they have asymmetric eyelids. Many people can have an eyelid which is slightly droopy than the other, in such cases, silicone sling procedure is performed to give their face a more symmetric look. It does not take a lot of time to recover, this procedure can either be performed as an outpatient service or with 1 to 2 days hospital stay.

Are the results of the treatment permanent?

The price of silicone sling procedure in India can be anywhere between Rs.95,000 to Rs. 1,25,000.

What are the alternatives to the treatment?

The results of silicone sling procedure are usually permanent. This is a sure shot treatment to cure drooping eyelids which is the major cause of disorders like ophthalmoplegia. In this surgery, the eyelid incisions are placed around 6 mm above the lash line, for children, this spot lies at the lid crease line. If the ptosis is unilateral, a higher skin incision is made. This reduces the need for reoperation if there is crease formation in later years of the child’s life. Placing the sling material within the tissues of the eyelid also reduces surgery induced bulkiness. Sometimes, surgeons have to form the eyelid crease in a totally separate procedure months after the silicone sling procedure. This however requires more cost and more time for hospitalization. To avoid further hassles, silicone sling procedure should be performed by well experienced surgeons.

Safety: Condition Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: High Price Range:

Rs. 95,000 – Rs. 1,25,000.

Popular Health Tips

5 Most Common Eye Problems - Do You Think They Can Be Treated?

ABC
Ophthalmologist, Jodhpur
5 Most Common Eye Problems - Do You Think They Can Be Treated?

Most individuals suffer from eye problems sometime in their entire life span. Since our eyes are one of the most important assets and sense organs, periodic check ups are recommended to prevent serious eye problems. Here is a list of 5 primary eye diseases, their causes and cure:

Conjunctivitis
This disease is commonly called pink eye. It involves swelling of the conjunctiva lines inside the eyelids which cover the sclera of the eyes as well.

Causes
1. May occur because of factors like viruses, bacteria and substances, which cause irritation such as shampoo, smoke, dirt, chlorine in swimming pools.
2. Dust, pollens or similar allergies may cause this disease in sensitive people.
3. This disease is infectious in nature and spreads from person to person.
This disorder may be treated with eye drops, pills or ointments containing antibiotics. Avoid being with other people when affected and also abstain from using contact lenses.

Glaucoma
In case of this disease, the optic nerve of the eye is damaged and can lead to loss of vision over time. Build-up of pressure takes place inside the eye.

Causes
1. Occurs due to intense pressure within the eyes or the intraocular pressure.
2. The extra pressure destroys the optic nerve.
3. Permanent blindness is caused if the disease is not controlled and treated.
Eye drops, laser surgery, and microsurgery are methods for curing glaucoma.

Ocular Migraine
This temporary disease causes loss of vision in one eye and generally does not last for more than an hour. This might happen after a migraine headache.

Causes

1. Mainly caused due to health-related issues than from eye problems.
2. Also occurs from regular migraines.
3. It is related to spasms caused in the blood vessels of the retina.
This disorder can be cured by using aspirin, epilepsy drugs and blood-pressure medication known as beta blockers.

Retinal vascular occlusion
This disease affects the retina and lowers the supply of oxygen-rich blood.

Causes
1. Factors such as atherosclerosis, blood clots and blockage in arteries, diabetes, high blood pressure, obesity or smoking lead to this disease.
2. The blood flow to the retina is restricted.
Medicines like blood thinners, eye injects such as vascular endothelial growth can cure this disorder.

Ophthalmoplegia
Paralysis of the eye muscles occurs. Can occur in more than one of the eye muscles.

Causes
1. Happens due to interruption of messages sent to the eye from the brain.
2. Caused from muscle disorders.
3. Also caused from migraines, thyroid problems, stroke, etc.
Special eye patches and eyewear are used for treating this disorder, for relieving double vision.
Eye diseases are very common, and a large number of eye diseases can occur from different reasons and causes.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4701 people found this helpful

5 Common Eye Diseases: Causes and Cure

Cornea Cataract & Lasik
Ophthalmologist, Delhi
5 Common Eye Diseases: Causes and Cure

Most individuals suffer from eye problems sometime in their entire life span. Since our eyes are one of the most important assets and sense organs, periodic check ups are recommended to prevent serious eye problems. Here is a list of 5 primary eye diseases, their causes and cure:

ConjunctivitisThis disease is commonly called pink eye. It involves swelling of the conjunctiva lines inside the eyelids which cover the sclera of the eyes as well.

Causes:

  1. May occur because of factors like viruses, bacteria and substances, which cause irritation such as shampoo, smoke, dirt, chlorine in swimming pools.
  2. Dust, pollens or similar allergies may cause this disease in sensitive people.
  3. This disease is infectious in nature and spreads from person to person.

This disorder may be treated with eye drops, pills or ointments containing antibiotics. Avoid being with other people when affected and also abstain from using contact lenses.

GlaucomaIn case of this disease, the optic nerve of the eye is damaged and can lead to loss of vision over time. Build-up of pressure takes place inside the eye.

Causes: 

  1. Occurs due to intense pressure within the eyes or the intraocular pressure.
  2. The extra pressure destroys the optic nerve.
  3. Permanent blindness is caused if the disease is not controlled and treated.

Eye drops, laser surgery, and microsurgery are methods for curing glaucoma.

Ocular MigraineThis temporary disease causes loss of vision in one eye and generally does not last for more than an hour. This might happen after a migraine headache.

Causes:

  1. Mainly caused due to health-related issues than from eye problems.
  2. Also occurs from regular migraines.
  3. It is related to spasms caused in the blood vessels of the retina.

This disorder can be cured by using aspirin, epilepsy drugs and blood-pressure medication known as beta blockers.

Retinal vascular occlusion: This disease affects the retina and lowers the supply of oxygen-rich blood.

Causes:

  1. Factors such as atherosclerosis, blood clots and blockage in arteries, diabetes, high blood pressure, obesity or smoking lead to this disease.
  2. The blood flow to the retina is restricted.

Medicines like blood thinners, eye injects such as vascular endothelial growth can cure this disorder.

OphthalmoplegiaParalysis of the eye muscles occurs. Can occur in more than one of the eye muscles.

Causes:

  1. Happens due to interruption of messages sent to the eye from the brain.
  2. Caused from muscle disorders.
  3. Also caused from migraines, thyroid problems, stroke, etc.

Special eye patches and eyewear are used for treating this disorder, for relieving double vision.

Eye diseases are very common, and a large number of eye diseases can occur from different reasons and causes.

4501 people found this helpful

Causes And Treatment Of Common Eye Diseases!

MS - Ophthalmology
Ophthalmologist, Delhi
Causes And Treatment Of Common Eye Diseases!

Most individuals suffer from eye problems sometime in their entire life span. Since our eyes are one of the most important assets and sense organs, periodic check ups are recommended to prevent serious eye problems. Here is a list of 5 primary eye diseases, their causes and care:

Conjunctivitis: This disease is commonly called pink eye. It involves swelling of the conjunctiva lines inside the eyelids which cover the sclera of the eyes as well.

Causes: May occur because of factors like viruses, bacteria and Irritant substances such as shampoo, smoke, dirt, chlorine in swimming pools. Dust, pollens or similar allergies may cause this disease in sensitive people. Infectious conjunctivitis can be transmitted from person to another.This can be prevented from transmission by frequent hand wash and cleaning the common use materials like TV remote, mobiles and laptop keyboards. Avoid shaking hands with other people when affected and also abstain from using contact lenses.This disorder may be treated with eye drops, pills or ointments

Vascular: The diseases can be caused in patients with uncontrolled diabetes, hypertension and other systemic diseases, macular degeneration etc. It can be treated with anti-VEGF injections for further progression and loss of vision.

GlaucomaIn case of this disease, the optic nerve of the eye is damaged and can lead to loss of vision over time.

Causes:  Occurs due to poor pressure control modalities within the eyes . The extra pressure destroys the optic nerve. Permanent blindness is caused if the disease is not controlled and treated. Eye drops, laser surgery, and microsurgery are methods for curing glaucoma.

Ocular Migraine: This temporary disease causes loss of vision in one eye and generally does not last for more than an hour. This might happen after a migraine headache.

Causes: Mainly caused due to health-related issues than from eye problems. Also occurs from regular migraines. temporary blurred vision is related to spasms caused in the blood vessels of the retina. This disorder can be cured by using aspirin, epilepsy drugs and blood-pressure medication known as beta blockers.

Retinal vascular occlusion: This disease affects the retina and lowers the supply of oxygen-rich blood.

Causes: Factors such as atherosclerosis, blood clots and blockage in arteries, diabetes, high blood pressure, obesity or smoking lead to this disease. The blood flow to the retina is restricted. Medicines like blood thinners, eye injects such as vascular endothelial growth can cure this disorder.

Ophthalmoplegia: Paralysis of the eye muscles occurs. Can occur in more than one of the eye muscles.

Causes: Happens due to interruption of messages sent to the eye from the brain. Caused from muscle disorders. Also caused from migraines, thyroid problems, stroke, etc. Special eye patches and eyewear are used for treating this disorder, for relieving double vision.

So one should go for regular eye check ups to keep all these diseases away to prevent serious visual loss. If you wish to discuss about any specific problem, you can consult an ophthalmologist.

4394 people found this helpful

Common Eye Diseases With Strange Reasons

MBBS, MS
Ophthalmologist, Navi Mumbai
Common Eye Diseases With Strange Reasons

Most individuals suffer from eye problems sometime in their entire life span. Since our eyes are one of the most important assets and sense organs, periodic check ups are recommended to prevent serious eye problems. Here is a list of 5 primary eye diseases, their causes and cure:

Conjunctivitis
This disease is commonly called pink eye. It involves swelling of the conjunctiva lines inside the eyelids which cover the sclera of the eyes as well.

Causes
1. May occur because of factors like viruses, bacteria and substances, which cause irritation such as shampoo, smoke, dirt, chlorine in swimming pools.
2. Dust, pollens or similar allergies may cause this disease in sensitive people.
3. This disease is infectious in nature and spreads from person to person.
This disorder may be treated with eye drops, pills or ointments containing antibiotics. Avoid being with other people when affected and also abstain from using contact lenses.

Glaucoma
In case of this disease, the optic nerve of the eye is damaged and can lead to loss of vision over time. Build-up of pressure takes place inside the eye.

Causes
1. Occurs due to intense pressure within the eyes or the intraocular pressure.
2. The extra pressure destroys the optic nerve.
3. Permanent blindness is caused if the disease is not controlled and treated.
Eye drops, laser surgery, and microsurgery are methods for curing glaucoma.

Ocular Migraine

This temporary disease causes loss of vision in one eye and generally does not last for more than an hour. This might happen after a migraine headache.

 

Causes
1. Mainly caused due to health-related issues than from eye problems.
2. Also occurs from regular migraines.
3. It is related to spasms caused in the blood vessels of the retina.
This disorder can be cured by using aspirin, epilepsy drugs and blood-pressure medication known as beta blockers.

Retinal vascular occlusion
This disease affects the retina and lowers the supply of oxygen-rich blood.

Causes
1. Factors such as atherosclerosis, blood clots and blockage in arteries, diabetes, high blood pressure, obesity or smoking lead to this disease.
2. The blood flow to the retina is restricted.
Medicines like blood thinners, eye injects such as vascular endothelial growth can cure this disorder.

Ophthalmoplegia
Paralysis of the eye muscles occurs. Can occur in more than one of the eye muscles.

Causes
1. Happens due to interruption of messages sent to the eye from the brain.
2. Caused from muscle disorders.
3. Also caused from migraines, thyroid problems, stroke, etc.
Special eye patches and eyewear are used for treating this disorder, for relieving double vision.
Eye diseases are very common, and a large number of eye diseases can occur from different reasons and causes. In case you have a concern or query you can always consult an expert & get answers to your questions!

4777 people found this helpful

Popular Questions & Answers

I have something called mlf syndrome or one and half eye, can it be cured? And will it increase when my age goes on.

MBBS
General Physician, Mumbai
As there is a problem in adduction of the eye involved and hence it may or may not progress but you will have to live with it and get a yearly checkup done and do eye exercise regularly
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice