What is ptosis?
Ptosis is also known as ‘drooping eyelid’. It is caused by
weakness of the muscles responsible for raising the eyelid, damage
to the nerves which control those muscles, or laxity of the skin
of the upper eyelids. Patients who have ptosis find the condition
annoying because many develop headaches from straining to hold
their lids open wider. In the more serious cases of ptosis, the
lids may droop or sag so much that they actually block a person's
vision.
What is the cause?
Ptosis or drooping eyelid can be caused by the normal aging
process, a congenital abnormality (present before birth) or due to
the result of an injury or disease. The risk factors include
aging, diabetes, stroke, Horner’s syndrome, myasthenia gravis,
brain tumour or other cancers, which can affect the nerve or
muscle response. Other causes of ptosis are injury, previous eye
surgery, neurological and muscular problems. It can also be
congenital (present at birth).
What are the symptoms?
1. Drooping of both or one eyelid
2. Increased tearing
3. If ptosis is severe, interference with vision
What is the diagnosis?
A physical examination is done to determine the cause or special
tests may be done to evaluate suspected causes, such as myasthenia
gravis.
What is the treatment?
If an underlying disease is found, the treatment may be specific
to that disease. Most cases are associated with ageing and no
underlying disease is found. Surgical correction can be done to
improve the appearance of the eyelids in milder cases if the
patient desires it, and may be necessary to correct interference
with vision in more severe cases. Drooping eyelids in children
requires prompt evaluation by an ophthalmologist. Surgical
correction may be necessary to prevent amblyopia (lazy eye).
What is the prognosis?
The expected outcome depends upon the cause. Surgical repair is
usually very successful in restoring appearance and function.
What are the complications?
If a drooping eyelid is left uncorrected in a child, it can lead
to amblyopia.
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