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Home/Eye

Medical Channel Asia Latest Questions

Eunice Lee
Eunice Lee
Asked: June 5, 2024
Eyelid drooping after nerve damage

The pic not me I took from Google. I look something like that now. last yr I was in a minor car accident and had some nerve damage to my left eye. after that my left eyelid start to droop because ...

  1. Dr Petrina Tan
    Best Answer
    Dr Petrina Tan

    Hello! I'm Dr Petrina, Senior Consultant Opthalmologist at Eagle Aesthetics & Surgery. I specialise in Oculofacial Plastic Surgery (which includes droopy eyelid surgery) The muscle that helps us to open our eyelids is called the levator muscle. This muscle is supplied by a nerve and this may beRead more

    Hello! I’m Dr Petrina, Senior Consultant Opthalmologist at Eagle Aesthetics & Surgery. I specialise in Oculofacial Plastic Surgery (which includes droopy eyelid surgery)

    The muscle that helps us to open our eyelids is called the levator muscle. This muscle is supplied by a nerve and this may be the nerve that has been injured in the car accident. Due to this, the muscle does not work so well . However with time, the disuse of the levator muscle has also caused it to weaken further thus causing more of the eyelid droop.

    Eyelid surgery to correct droopy eyelids is very manageable. To calm patients’ anxiety, we can have our anaesthetist to give some sedation at the start of the surgery . We will then do a small injection of local anaesthetic (but you won’t feel it at all because youre sedated) and we start the eyelid surgery. Your eyes are closed so you won’t be seeing any part of the surgery. After about 40 minutes, we will wake you up gently and ask that you help us open your eyes so that we can check that both eyes are symmetrical. Once we are happy with the results of the eyelid surgery, our anaesthetist will let you go back to your sleep and we close up the eyelid wound to complete the procedure.

    If you have any concerns about the procedure, feel free to reach out for more information. Happy to help answer any more questions!

    Dr Petrina Tan
    Senior Consultant Opthalmologist
    Eagle Aesthetics & Surgery
    Instagram: @drpetrina_eyedoc

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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Grayson Lim
Grayson Lim
Asked: June 1, 2024

Hi, I have been wearing glasses my whole life n I want to do laser correction. Some of my friends who did lasik say that it went well but one of my friend experienced v dry eyes even until now ...

  1. Dr Petrina Tan
    Best Answer
    Dr Petrina Tan
    This answer was edited.

    Hello! I’m Dr Petrina, Senior Consultant Opthalmologist at Eagle Aesthetics & Surgery. I specialise in Oculofacial Plastic Surgery. Refractive surgery can be broadly catergorised into two ways: 1) Laser procedures that flatten the cornea, and 2) Implantable contact lens (nothing to do with the cRead more

    Hello! I’m Dr Petrina, Senior Consultant Opthalmologist at Eagle Aesthetics & Surgery. I specialise in Oculofacial Plastic Surgery.
    Refractive surgery can be broadly catergorised into two ways: 1) Laser procedures that flatten the cornea, and 2) Implantable contact lens (nothing to do with the cornea). Here is an overview of LASIK procedures & implantable contact lens.
    For laser procedures that work on the cornea, these include PRK / EPILASIK, FEMTOLASIK, SMILE. Because these procedures work on the cornea, dry eyes is a by-product and side effect. Some patients do better after the first month but some patients may need constant lubricant eyedrops even after some time. Prior to refractive surgery like LASIK, we will screen our patients for dry eyes.

    • PRK or EPILASIK removes the outer surface of the cornea with either a blade or alchohol. An excimer laser is then applied to flatten the cornea. The outer surface of the cornea then heals in 1 week.
    • FEMTOLASIK is whereby a femtosecond laser creates a flap, thereafter the excimer laser is applied to flatten the cornea. The flap is then respoitioned.
    • SMILE is whereby a femtosecond laser makes a small wound at the side of the cornea, the laser also fashions a pocket of tissue such that the surgeon can remove that pocket of cornea tissue to bring about a “flattening” of the cornea.

    On the other hand, implantable contact lens (ICL) procedure has no lasering of the cornea and thus no problems with dry eyes. It is highly recommended for patients with high degrees of shortsightedness (like yourself) as we preserve as much cornea as we can.
    If you have any concerns about your options for shortsightedness, feel free to reach out for more information. Happy to help answer any more questions!
    Dr Petrina Tan
    Senior Consultant Opthalmologist
    Eagle Aesthetics & Surgery, Eagle Eye Centre
    Instagram: @drpetrina_eyedoc

    The information provided on this forum is for educational purposes only and not intended as medical advice. Please consult a healthcare provider for any medical concerns, diagnosis or treatment.

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twitch24
twitch24
Asked: October 10, 2024

Hi im 29 year old female nd my eyelid has been twitching for awhile… Not sure why but it’s v annoy…

  1. HELF AI
    HELF AI
    The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    Eyelid twitching, also known as myokymia, is a common and usually benign condition characterized by involuntary, repetitive spasms of the eyelid muscles. While it can be annoying, it is typically not a sign of a serious medical issue. Here are some potential causes and considerations: 1. Stress andRead more

    Eyelid twitching, also known as myokymia, is a common and usually benign condition characterized by involuntary, repetitive spasms of the eyelid muscles. While it can be annoying, it is typically not a sign of a serious medical issue. Here are some potential causes and considerations:

    1. Stress and Fatigue: Stress is one of the most common triggers for eyelid twitching. Similarly, lack of sleep or fatigue can exacerbate the condition. Ensuring adequate rest and managing stress through relaxation techniques or exercise may help alleviate symptoms.

    2. Caffeine and Alcohol: Excessive consumption of caffeine or alcohol can lead to muscle spasms, including eyelid twitching. Reducing intake of these substances might help reduce the frequency of twitching.

    3. Eye Strain: Prolonged use of digital devices or reading without breaks can cause eye strain, leading to twitching. Practicing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help reduce eye strain.

    4. Dry Eyes: Dryness of the eyes can irritate the eyelid muscles, causing twitching. This is more common in individuals who use contact lenses or spend a lot of time in front of screens. Using lubricating eye drops may provide relief.

    5. Nutritional Imbalances: Deficiencies in certain nutrients, such as magnesium, can contribute to muscle spasms. Ensuring a balanced diet with adequate vitamins and minerals is important.

    6. Allergies: Allergies can cause irritation and twitching of the eyelids. If you have known allergies, managing them with antihistamines or other treatments may help.

    7. Medications: Some medications can cause muscle twitching as a side effect. If you suspect this might be the case, consult with your healthcare provider.

    8. Neurological Causes: In rare cases, persistent eyelid twitching can be a sign of a more serious neurological condition, such as blepharospasm or hemifacial spasm. If the twitching persists for several weeks, affects other parts of your face, or is accompanied by other symptoms, it is advisable to seek medical evaluation.

    Practical Advice:
    – Try to identify and reduce potential triggers, such as stress or caffeine.
    – Ensure you are getting enough sleep and taking regular breaks from screens.
    – Consider using lubricating eye drops if you experience dry eyes.
    – Maintain a balanced diet and consider a multivitamin if dietary intake is insufficient.

    If the twitching persists or worsens, or if you experience additional symptoms, it would be wise to consult a healthcare professional for further evaluation and management.

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whyineedthis
whyineedthis
Asked: October 16, 2024

why is this happening to me that when i sleep, i start snoring.

  1. HELF AI
    HELF AI
    The following answer is provided by HELF AI (www.HELF.co), a next-gen AI backend built to power the health & wellness industry.

    Snoring occurs when airflow through the mouth and nose is partially obstructed during sleep, causing the surrounding tissues to vibrate and produce sound. There are several reasons why you might be experiencing snoring: 1. Anatomical Factors: The structure of your airway can influence snoring. For eRead more

    Snoring occurs when airflow through the mouth and nose is partially obstructed during sleep, causing the surrounding tissues to vibrate and produce sound. There are several reasons why you might be experiencing snoring:

    1. Anatomical Factors: The structure of your airway can influence snoring. For example, a low, thick soft palate, enlarged tonsils, or a long uvula can narrow the airway and contribute to snoring. Additionally, nasal septum deviation or nasal polyps can obstruct airflow.

    2. Obesity: Excess weight, particularly around the neck, can put pressure on the airway, increasing the likelihood of snoring. Fat deposits around the neck can lead to airway narrowing during sleep.

    3. Age: As you age, the muscle tone in your throat decreases, which can increase the risk of snoring. This is a common physiological change that can affect airway patency.

    4. Alcohol and Sedatives: Consumption of alcohol or sedative medications before bedtime can relax the muscles of the throat, increasing the risk of airway obstruction and snoring.

    5. Sleep Position: Sleeping on your back can cause the tongue and soft palate to collapse to the back of the throat, leading to airway obstruction and snoring. Side sleeping is often recommended to mitigate this.

    6. Nasal Congestion: Conditions like allergies, colds, or sinus infections can lead to nasal congestion, which can obstruct airflow and result in snoring. Chronic nasal congestion can also be a factor.

    7. Smoking: Smoking can irritate the mucous membranes in the airway, leading to inflammation and increased likelihood of snoring.

    8. Obstructive Sleep Apnea (OSA): Snoring can be a symptom of OSA, a condition characterized by repeated episodes of partial or complete obstruction of the airway during sleep. This can lead to disrupted sleep and other health issues.

    To address snoring, consider the following steps:

    – Lifestyle Modifications: Weight loss, avoiding alcohol and sedatives before bedtime, and quitting smoking can help reduce snoring.
    – Positional Therapy: Sleeping on your side rather than your back may alleviate snoring.
    – Nasal Treatments: Using nasal strips or decongestants can improve airflow through the nose.
    – Medical Evaluation: If snoring is persistent, loud, or accompanied by symptoms like daytime sleepiness or observed apneas, a medical evaluation for OSA may be warranted. This could involve a sleep study to assess the severity and nature of the snoring.

    If snoring is affecting your quality of life or that of your bed partner, it may be beneficial to consult a healthcare professional who can provide a tailored assessment and recommend appropriate interventions.

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