67950 Canthoplasty (reconstruction of canthus)

Name of the Procedure:

Canthoplasty (Reconstruction of Canthus)

Summary

Canthoplasty is a surgical procedure aimed at tightening and re-shaping the corner of the eye where the upper and lower eyelids meet, known as the canthus. This procedure can correct eyelid malposition issues, enhance the eye's appearance, and improve eyelid function.

Purpose

Canthoplasty is performed to address conditions such as eyelid laxity, drooping (ptosis), or malposition of the canthus. The goals can include improving vision, providing structural support to the eyelids, and enhancing the aesthetic appearance of the eyes.

Indications

• Eyelid ptosis (drooping eyelid)
• Lax or sagging eyelids
• Ectropion (outward turning of the eyelid)
• Entropion (inward turning of the eyelid)
• Cosmetic enhancement of the eye
• Reconstructive needs following trauma or surgery

Preparation

• Patients may be advised to fast for 6-8 hours prior if general anesthesia is used.
• Avoid blood-thinning medications as directed by the surgeon.
• Pre-operative assessment including vision tests and physical examination of the eyelids.
• No makeup or lotions on the day of the surgery.

Procedure Description

1. Anesthesia is administered (local or general, depending on the case).
2. An incision is made at the outer corner of the eyelid.
3. The surgeon tightens the underlying canthal tendon and muscles.
4. Excess skin or tissue may be removed for a more refined appearance.
5. The incision is closed with fine sutures.
6. Sterile dressings may be applied post-surgery.

Common tools include scalpels, fine surgical scissors, sutures, and sometimes lasers for precision.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

Canthoplasty is usually performed in a hospital, outpatient surgical center, or specialist clinic.

Personnel

• Ophthalmic or plastic surgeon
• Anesthesiologist (if general anesthesia is used)
• Surgical nurses
• Possibly a surgical technician

Risks and Complications

• Infection
• Bleeding or hematoma
• Scarring
• Asymmetry between eyes
• Dry eyes or excessive tearing
• Changes in sensation
• Temporary or permanent vision changes

Benefits

• Improved eyelid function and support
• Enhanced visual field and eye comfort
• Improved aesthetic appearance
• Correction of congenital or trauma-induced deformities Results typically begin to show once initial swelling subsides, usually within a few weeks.

Recovery

• Cold compresses to minimize swelling and bruising
• Elevate head while sleeping
• Avoid strenuous activities for 1-2 weeks
• Follow-up appointments to monitor healing
• Sutures are usually removed within 5 to 7 days
• Full recovery typically takes several weeks, with most patients resuming normal activities within 1-2 weeks.

Alternatives

• Non-surgical treatments such as Botox (for mild cases of drooping).
• Less invasive procedures like eyelid fillers or skin tightening with laser therapy.
• Pros include lower risk and quicker recovery; cons include less permanent results and limited effectiveness for more severe conditions.

Patient Experience

• Mild to moderate discomfort and swelling post-procedure, manageable with prescribed pain relief.
• Tightness or dryness in the operated area, temporary and typically resolving in a few days.
• Regular follow-up for suture removal and to check healing progress. Comfort measures include pain medication, lubrication eye drops, and detailed aftercare instructions.