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Drooping Eyes/Ptosis
Drooping eyes, also known as ptosis, is a medical condition characterized by the drooping or sagging of one or both eyelids. Ptosis occurs when the muscles that control the movement of the eyelids weaken, preventing the eyelids from opening fully. This can result in the appearance of asymmetry between the two eyes or obstruct the vision partially or entirely, depending on the severity of the condition. Drooping eye(s) can have causes that aren’t due to underlying disease. Examples include family history of ptosis or extreme fatigue.
Fast Facts
What can I expect?
Treatment
Additional blood tests and imaging may be required before a treatment plan is instituted.
Recovery time
Tight-fitting sleeve garments are advised for your recovery. Normal sporting activities can be resumed in 4 weeks.
Sedation
Is amenable to surgical correction as a day case procedure under sedation with local anaesthesia.
Cause
Ptosis may result from damage to the nerve that controls the muscles of the eyelid, problems with muscle strength (as in myasthenia gravis), or from swelling of the lid. Can be congenital (from birth), due to an overall systemic illness or is more commonly due to ageing.
Is a serious problem?
Sometimes ptosis is an isolated problem that changes a person’s appearance without affecting vision or health. In other cases, however, it can be a warning sign that a more serious condition is affecting the muscles, nerves, brain or eye socket.
How do I know I have it?
If you are having difficulty keeping your eyes open, struggling to read for long periods and using your forehead muscles to lift your brow then you may have signs suggestive of eyelid ptosis. Children can be born with either one or both eyes looking droopy. This is called congenital ptosis. A doctor will diagnose ptosis by examining your eyelids closely whilst performing various tests to gauge height of the lids and strength of the muscles that lift it. A special computerised visual field analysis will determine how much of your visual field is affected.