When performing lower eyelid surgery, it is important to ensure that the lower eyelid is tight enough. If the eyelid is not tight enough, there is a greater risk of pull down of the eyelid after surgery and resulting dry eyes and eye exposure. To test if the lower eyelid is loose, the surgeon will pinch the lower eyelid and pull it out. If it takes a long time to retract or requires a blink or two to return to a position against the eye, the lower eyelid is loose. If the lower eyelid is loose, a procedure can be performed to tighten the lower eyelid.
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