This is a drooping of the upper eyelid, due to congenital or paralytic causes. It may be unilateral or bilateral.
Apart from internal and proper external electrical and other treatment the simplest surgical method to be employed is to remove an elliptical piece of skin from the eyelid and to suture the margins of the wound together. Care should be taken not to take out too much tissue, as this would involve inability to close the lid.
ANKYLOBLEPHARON
A condition in which the two lid margins are united by cicatricial adhesion. These should be removed and the margin of the lids be rebuilt by any of the methods suggested if possible. Mucous-membrane flaps are naturally to be preferred.
WRINKLED EYELIDS
A common condition after middle life, when not due to other causes than normal changes in the skin and subcutaneous tissue. Edematous pressure due to disease is a common factor.
The wrinkling may be marked or slight.
To correct the condition is to remove the redundant or baggy tissue by excision, as massage in any form accomplishes little if any benefit. The shape of the incision should be made to include the loose tissue and varied somewhat, as shown in [Figs. 112 and 113].
