Many people suffer from drooping eyelids (blepharoptosis) as they age.
Research has shown that eye drops, which have been used to treat glaucoma, are effective against this drooping eyelid.
A Cross-Sectional Survey of the Association between Bilateral Topical Prostaglandin Analogue Use and Ocular Adnexal Features
https://oguriganka.jp/l/m/xAviCdCZ1stWHq
His eye drops, which contain a substance called prostaglandin, are used in glaucoma patients to lower intraocular pressure.
The subjects were 186 women and 157 men receiving treatment for glaucoma. We observed what other effects prostaglandins have besides lowering intraocular pressure.
Prostaglandin eye drops have a known side effect of deepening the double eyelid line and thinning the fat layer around the eyes. However, thanks to this side effect, the area around the eyes felt refreshed, and as a result, it was confirmed that it was effective in suppressing the symptoms of ptosis.
Based on the results of this study, it was reported that the efficacy of prostaglandin preparations is to improve visual field defects caused by ptosis (the narrowing of vision due to drooping of the eyelids).
Problems of people with drooping eyelids
Many patients with blepharoptosis are worried about their eyes looking unsightly.
Therefore, it is good news for patients that drooping eyelids can be improved without surgery.
This research report would be very welcome if it could cure ptosis without surgery, which not only improves appearance but also causes systemic problems such as stiff shoulders and headaches.
In the actual ophthalmology clinic...
However, these results are completely contrary to the reports of side effects that occur in patients with glaucoma who use prostaglandin eye drops for a long period of time (at least one year) that I encounter on a daily basis.
In my daily examination, I feel that the long-term administration of prostaglandins actually worsens the ptosis.
After discontinuing prostaglandin eye drops, many patients say that their eyelids have become lighter, their headaches have improved, and the heaviness they felt in their eyes and head has gone away. is.
Therefore, as introduced in a previous blog, our hospital is actively working to eliminate the need for glaucoma eye drops through laser surgery, which is less invasive.
(“A new glaucoma intraocular pressure lowering treatment that replaces eye drops”)
Many people with glaucoma have drooping eyelids!
It is theoretically supported that people with glaucoma often have drooping eyelids.
It is well known to ophthalmologists that it was confirmed in an epidemiological survey,
“The more myopia you have, the more likely you are to develop glaucoma.”
It is.
People with severe myopia often use contact lenses because it is difficult to see well with glasses. It is no exaggeration to say that contact lenses are the biggest cause of ptosis.
Avoiding contact lens use will help prevent blepharoptosis.
The reason why we focus on myopia treatment at our hospital is that, for example, if the patient plans to use disposable contact lenses for more than 5 years, surgery is safer and more economically advantageous for the patient's lifetime vision of 80 years or more. Because I think so.
We believe that it is better to correct myopia with intraocular contact lenses or cataract surgery and live with the naked eye, not only in terms of safety, but also in terms of quality of vision, daily maintenance, and cost-effectiveness. Masu.
In Western countries, it is said that the number of myopia surgeries is increasing and the number of disposable contact lenses is decreasing, but I think this is a natural choice for rationally thinking Westerners.
随着年龄的增长，许多人都患有眼睑下垂（眼睑下垂）。
研究表明，用于治疗青光眼的眼药水可以有效对抗眼睑下垂。
双侧局部前列腺素类似物使用与眼附件特征之间关联的横断面调查
https://oguriganka.jp/l/m/xAviCdCZ1stWHq
本研究中含有前列腺素物质的滴眼剂用于降低青光眼患者的眼内压。
受试者包括 186 名女性和 157 名男性，正在接受青光眼治疗。 我们观察了前列腺素除了降低眼压之外还有哪些其他作用。
前列腺素滴眼液有一个已知的副作用，即加深双眼皮线和使眼睛周围的脂肪层变薄。 然而，由于这种副作用，眼睛周围的区域感觉清爽，结果证实它可以有效抑制上睑下垂的症状。
根据这项研究的结果，据报道，前列腺素制剂的功效是改善上睑下垂（眼睑下垂导致的视力变窄）引起的视野缺损。
眼睑下垂的人的问题
许多上睑下垂的患者都担心自己的眼睛看起来不美观。
因此，无需手术即可改善眼睑下垂，这对患者来说是个好消息。
如果这份研究报告能不用手术治愈上睑下垂，那将非常受欢迎，不仅可以改善外观，还可以引起肩膀僵硬、头痛等全身问题。
在实际的眼科诊所...
然而，这些结果与我每天遇到的青光眼患者长期（至少一年）使用前列腺素滴眼液所出现的副作用的报道完全相反。
在我的日常检查中，我感觉长期服用前列腺素实际上会加重上睑下垂。
停用前列腺素滴眼液后，很多患者表示眼皮变轻了，头痛也改善了，眼睛和头部的沉重感也消失了。
因此，正如之前博客中介绍的那样，我们医院正在积极致力于通过侵入性较小的激光手术来消除青光眼眼药水的需要。
（“一种替代滴眼剂的新型青光眼降低眼压治疗方法”）
很多患有青光眼的人都有眼皮下垂的情况！
从理论上讲，患有青光眼的人经常会出现眼睑下垂的情况。
眼科医生众所周知，流行病学调查证实，
“近视程度越深，患青光眼的可能性就越大。”
这是。
严重近视的人经常使用隐形眼镜，因为戴眼镜很难看得清楚。 毫不夸张地说，隐形眼镜是导致上睑下垂的最大原因。
避免使用隐形眼镜将有助于预防上睑下垂。
我们医院之所以专注于近视治疗，是因为，比如，如果患者计划使用一次性隐形眼镜5年以上，手术对于患者80年甚至更长的终生视力来说更安全、更经济。因为我也这么认为。
我们认为，通过眼内隐形眼镜或者白内障手术来矫正近视，用肉眼生活，不仅在安全性上，而且在视觉质量、日常维护、性价比等方面都更好。
在西方国家，据说近视手术的数量在增加，一次性隐形眼镜的数量在减少，但我认为这是理性思考的西方人的自然选择。
