Ptosis is also called "drooping eyelid." It is caused by weakness of the muscle responsible for raising the eyelid, damage to the nerves that control those muscles, or looseness of the skin of the upper eyelids.
Drooping eyelid can be caused by the normal aging process, a congenital abnormality (present before birth), or the result of an injury or disease.
If an underlying disease is found, the treatment will be specific to that disease. Most cases of ptosis are associated with aging and there is no disease involved.
Surgery can be done to improve the appearance of the eyelids in milder cases if the patient wants it. In more severe cases, surgery may be necessary to correct interference with vision. In children with ptosis, surgery may be necessary to prevent amblyopia.
The expected outcome depends on the cause of the ptosis. Surgery is usually very successful in restoring appearance and function.
If a drooping eyelid is left uncorrected in a child, it can lead to lazy eye.
Drooping eyelids in children require prompt evaluation by an ophthalmologist.
New or rapidly changing ptosis in adults requires prompt evaluation by an ophthalmologist.
Custer PL. Blepharoptosis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 12.5.
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