Blepharitis

Ptosis is a drooping of the upper eyelid. It can affect one or both eyes and may sometimes be noticeable or severe enough to cover the pupil and block vision. It occurs when the muscle that lifts the eyelid (levator muscle) is weak or damaged. It can happen in children in the congenital form, and in the elderly in the senile form.

Ptosis is a drooping of the upper eyelid. It can affect one or both eyes and may sometimes be noticeable or severe enough to cover the pupil and block vision. It occurs when the muscle that lifts the eyelid (levator muscle) is weak or damaged. It can happen in children in the congenital form, and in the elderly in the senile form.

Symptoms

The main sign is a sagging upper eyelid. In severe cases, you may need to tilt your head back or raise your eyebrows to see clearly, which can lead to forehead aches and fatigue. Causes vary: it can be present at birth (congenital), develop with age as the muscle stretches, or result from injury, neurological conditions, or certain eye surgeries.

Diagnosis

An eye doctor will measure the height of your eyelid, the strength of the eyelid muscle, and assess how much it affects your field of vision.

Treatments

Treatment is usually surgical. The procedure (called a ptosis repair) tightens the levator muscle or connects the eyelid to the forehead muscles to restore a more normal lid position. Surgery is recommended if the drooping blocks vision (especially in children, to prevent amblyopia) or for cosmetic improvement in adults (cosmetic blepharoplasty).

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