• Our hospital's policy on patient harassment

  • If you feel like your eyes are not working properly, please contact us.
    [General eye treatment]
  • Guide to using My Number Health Insurance Card

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  • Our hospital's policy on patient harassment

    Nagoya Eye Clinic (hereinafter referred to as "our clinic") strives to provide the best medical services by treating patients and their families sincerely and in response to their trust and expectations. However, some patients and their families who receive treatment, or those related to them, make demands that go beyond the bounds of common sense, or engage in verbal or physical actions that deny the dignity of our staff, violence, sexual harassment, etc., which are serious problems that lead to a deterioration of the work environment and clinical environment (these verbal and physical actions of patients and their families are called "pay harassment"). Our clinic will not tolerate pay harassment, and will take a firm stance against these nuisances in order to respect and protect the human rights of not only our staff, but also other patients and their families.

    Details

  • If you feel like your eyes are not feeling well, please feel free to consult us. [General eye treatment]

    Redness, itchiness, blurred vision, watery eyes, dry eyes, eye fatigue, allergies such as hay fever, decreased vision, eye examinations, eye problems in middle-aged and elderly people...there are many eye diseases and the symptoms vary.
    At Nagoya Eye Clinic, our specialists will listen to your concerns about any minor eye problems you may have and provide a thorough examination. Just like with physical illnesses, early detection of eye diseases is important. Please feel free to consult with us. Nagoya Eye Clinic operates on a reservation-only system, so you won't have to wait. First, please use our "Web Reservation" service, which is available 24 hours a day, 365 days a year. We look forward to seeing you.

    Online reservation here

  • Guide to using My Number Health Insurance Card

    As of December 2024, 12, new issuance of health insurance cards will end, and current health insurance cards will expire on December 2, 2025. At Nagoya Eye Clinic, we have installed a card reader at the reception desk and ask patients who have a My Number card to consent to the My Number health insurance card.

    Details

  • X

Eyelid treatment

Ptosis, entropion,
Swelling, cramps, etc.
Eyelid problemsThe
A specialist
Careful examinationTo do

Doctor in charge
  • Takashi Kojima
    Director/Ophthalmologist
    Takashi Kojima
  • Yoko Yoshida
    Vice Director/Ophthalmologist
    Yoko Yoshida
  • Professor Nobuyuki Miyata
    Chinese New Year
    Professor Nobuyuki Miyata

What is ptosis?

What is ptosis?"A condition in which the upper eyelid droops, making it difficult to open the eye, narrowing the field of vision, and making it difficult to see things."Say.
Patients with ptosis unconsciously try to maintain good vision by lifting their eyebrows, widening their eyes, or constantly lifting their chin when looking at things. This chronic tension in the forehead muscles can lead to headaches and stiff shoulders. As symptoms worsen, it can also cause nausea, dizziness, and sympathetic nervous tension. Other causes, such as myasthenia gravis and oculomotor nerve palsy, can also cause double vision (diplopia), so it is important to thoroughly investigate the cause. Ptosis in only one eye is easy to notice because of the external asymmetry, but in cases involving both eyes, it can be more difficult to notice.

Severity of ptosis

  • normal state

    The edge of the upper eyelid touches the cornea (black part of the eye)
    Almost no charge

  • Mild ptosis

    The edge of the upper eyelid meets the cornea (iris)
    A condition that hangs between the pupils

  • moderate droop

    Affecting the upper half of the pupil

  • strength drop

    Covering the lower half of the pupil

Main treatments for ptosis

First, the cause should be investigated, and if it is a systemic disease such as myasthenia gravis, drug treatment will be necessary. The main treatment for ptosis caused by aging or contact lenses is surgery.
After surgery, unnecessary strain is no longer applied, so you can expect to see relief from stiff shoulders and headaches. Vision also becomes brighter, which may also improve your mood. If another disease is the cause, treatment of the underlying disease takes priority.

Depending on the symptom state
Treatment methods vary

  • ● If there is even a small amount of strength remaining to lift the eyelid, the loose muscles will be suturized to restore their original function and allow the eyelid to be lifted.
  • ● If the skin is sagging due to aging, the excess skin is simply removed and sutured, which has the added benefit of making the eye area look younger.

Laser scalpel surgery

The specific instrument used is a carbon dioxide laser scalpel. It is characterized by minimal bleeding and minimal stress on the skin. The surgery itself is short, taking approximately 20 minutes per eye, and leaves no noticeable scars. It is an outpatient procedure under local anesthesia. Pre-operative examinations include a visual acuity test to observe the degree of ptosis, as well as an electrocardiogram and blood tests. Surgery is by appointment only, and the date will be decided in consultation with the doctor.

Surgery cost

blepharoptosis surgery
one eye

Those who pay 1% of the cost...

About 9,000 yen

Those who pay 2% of the cost...

About 10,800 yen

Those who pay 3% of the cost...

About 20,700 yen

*The results may vary slightly depending on the type and degree of ptosis.

Precautions after surgery

  • ● Usually, the eye patch will be replaced with a small gauze patch the next day, and the gauze will no longer be needed the day after that. Because the eyelids are prone to swelling, temporary swelling and purple internal bleeding may occur after surgery, but this will return to normal within 1 to 2 weeks.
  • ● You will not be able to take a bath on the day of surgery. You will be able to take a bath from the neck down from the day after surgery, but please refrain from washing your face or hair for about two days.
  • ● Alcohol and tobacco may hinder recovery, so please refrain from them for about a week.
  • ● The stitches will be removed 1 to 2 weeks after surgery.

[Post-surgery checkup]
You will be asked to come in for a follow-up visit the next day, 1-2 weeks after surgery to have the stitches removed, and then again at 1 month and 3 months.

FAQ

Is ptosis surgery painful?
The surgery is performed under local anesthesia. If the anesthesia is effective, you will not feel any significant pain during the procedure. If you do feel pain, additional anesthesia can be administered.
Can I still wear hard lenses?
Although it is possible to use it, we do not recommend it as there is a high possibility that ptosis will recur or progress.
Is it okay to exercise after ptosis surgery?
Please avoid excessive exercise for one month. Swelling will remain for about one to two weeks after surgery.
I want to have double eyelids...
This is not cosmetic surgery. We will do our best to meet your wishes, but the surgery is aimed at restoring function.

About Professor Nobuyuki Miyata

In addition to performing surgeries such as ptosis and cataract surgery at Okada Eye Clinic, he also gives lectures and performs live surgeries on ptosis surgery using the latest techniques all over the country.
We strive to provide high-quality medical care by pursuing surgery that places minimal burden on patients.
Dr. Miyata is not available to perform surgery on many days, but please consult with one of our doctors first.

【book】
Ptosis Laser Mueller Tacking Manual

The surgical field is smoothly expanded from skin incision to tissue peeling! Müller muscle tucking is perfectly aligned with the target MRD in one go! "Extended Müller Tucking" using a CO1 laser by veteran Dr. Nobuyuki Miyata. Details of the surgery are introduced with 2 videos.

What is entropion (inverted eyelashes)?

Entropion is a condition in which the eyelids or eyelashes are turned in an abnormal direction, causing the eyelashes to come into contact with the eyeball (cornea or conjunctiva). If this condition continues, the eyelashes will rub against the cornea, causing damage and unpleasant symptoms such as pain, a foreign body sensation, tearing (watery eyes), and bloodshot eyes. If it becomes severe, it can lead to corneal ulcers and decreased vision.

  • Normal case

  • In case of entropion

    The lower eyelid curls inward, causing the eyelashes to touch the cornea

Types of entropion

There are two main types of inversion:

Entropion
(Gankenaihan)

This type involves the eyelid itself turning inwards. The eyelid position becomes abnormal, resulting in the eyelashes turning inwards (towards the eyeball).

  • ● Congenital entropion: This condition is mainly seen in infants. It may improve naturally as the child grows.
  • ● Acquired entropion: This occurs due to loosening of the orbicularis oculi muscle and sagging skin caused by aging. It is particularly common in elderly people.

eyelash entropion
(It's pointless)

There is nothing wrong with the position of the eyelid, but the eyelashes themselves grow inward (towards the eyeball). This is often a congenital condition, and when you flip your eyelids, you can see that some of the eyelashes are growing inward.

symptom

● Foreign body sensation (rumbling sensation)　
● Eye pain　
● Increased blinking frequency　
Tears won't stop (lacrimation)
● Bloodshot eyes　
● Sensitivity to light (photophobia)　
In severe cases, there is a risk of corneal injury and infection.

Treatment

Depending on the symptoms, age, and severity, the following measures will be taken:

In children
(congenital)

  • ● If the condition is mild and there are few symptoms: The condition may improve naturally as the child grows, so it is common to just monitor the condition over time.
  • ● If there are scratches on the cornea or a chronic foreign body sensation, surgery will be considered. If it is the upper eyelid, the buried suture method will be considered, and if it is the lower eyelid, the Hotz method will be considered. For those aged middle school and older, the procedure can often be completed in a short time under local anesthesia, and it can even be done as an outpatient procedure.

For adults and elderly people
(acquired)

  • ● If symptoms are mild, artificial tears or eye drops may help relieve the symptoms.
  • ● Temporary treatments include plucking the eyelashes or cauterizing them, but the downside is that the condition tends to recur.
  • ● Surgery is the most effective fundamental treatment. By adjusting the skin and muscles properly, the eyelids can be restored to their normal position.

Conclusion

If left untreated, entropion can damage the cornea and potentially affect vision.
Especially in the case of children, even if you think the condition will improve naturally, it is important to have them examined by an ophthalmologist if the symptoms are severe.
If you have any discomfort with your eyelids or eyelashes, please feel free to contact us.

For eyelid warts and moles
Laser treatment

A CO₂ laser is used to vaporize and remove unwanted tissue. This method is characterized by less bleeding than surgery using a scalpel. Redness may occur after the procedure, but this usually subsides within 1-2 months. Also, please avoid exposure to ultraviolet light after the procedure.

Surgery cost

Laser surgery
one eye

Those who pay 3% of the cost...

About 10,000 yen

*Depends on size.

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