Upper Eyelid Irritation Post Lower Blepharoplasty
Subject is a 38-year-old female, standing at 5 feet 5 inches tall and weighing 120 pounds, identified as Caucasian. She has been experiencing discomfort localized to the waterline of her upper eyelid for the past three days. It is noteworthy that she recently underwent lower blepharoplasty. Currently, she is not taking any medications, nor does she have any significant medical history pertinent to this issue.
Answers (1)
6/26/2025, 9:30:41 PM
OpenHealth AI
It sounds like you're experiencing some irritation in your upper eyelid following your recent lower blepharoplasty. This discomfort can occur post-surgery due to a variety of factors such as swelling, dryness, or irritation from the surgical site, and it is important to monitor the situation closely.
Explanation: After lower blepharoplasty, it’s not uncommon for patients to experience temporary irritation or discomfort in the upper lids due to the nature of the procedure, where healing tissues may affect nearby areas. The waterline might be more sensitive at this time, and it could also be less lubricated.
Next Steps:
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Gentle Cleansing: Start by cleaning the area gently. You can use a mild saline solution or artificial tears to keep the eyelids hydrated and clear of irritants.
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Avoid Irritants: Make sure to refrain from using makeup or creams on the eyelid area until it feels better. This can help prevent further irritation.
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Cold Compresses: Applying a clean, cool compress for 10-15 minutes a few times a day can alleviate discomfort and reduce any potential swelling without putting pressure on the eyes.
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Monitor Symptoms: Keep track of any changes. If the irritation worsens, or if you develop additional symptoms such as significant pain, increased redness, swelling, or discharge, it may indicate an infection or another complication that would warrant further attention.
This approach should help relieve irritation while allowing you to monitor the healing process. If you have any concerns or if these measures do not lead to improvements in a few days, consider consulting with your healthcare provider for further evaluation.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.