Ptosis (Droopy Eyelid)

Ptosis (known as a droopy eyelid) is a condition in which the upper eyelid falls lower than its normal position. This problem may be mild and only affect appearance, or it may become severe enough to interfere with vision and, in some cases, completely block sight.

Ptosis

Ptosis occurs when the upper eyelid droops downward over the eye. The degree of drooping varies from person to person; it may partially cover the eye or fully obstruct the pupil, leading to visual difficulties.

This condition can develop at any age. Some individuals are born with ptosis (congenital ptosis), while others develop it later in life (acquired ptosis).

Causes of ptosis

• Acquired ptosis usually develops when the muscles or supporting tissues responsible for lifting the eyelid become weak or damaged. This may happen due to injury, aging, or certain medical conditions affecting nerves or muscles.
• Common causes include: stye, Horner syndrome (a neurological condition affecting eye nerves), myasthenia gravis, external ophthalmoplegia (which affects eye muscle movement), stroke, and a tumor.

Symptoms of ptosis

• Drooping of the upper eyelid covering part or all of the pupil.
• Increased tearing.
• Blurred or reduced vision.
• Frequent eye rubbing.
• Eye fatigue or pain around the eye area.
• Tilting the head backward or raising the eyebrows to improve vision.
• If ptosis is not treated, it may lead to complications such as astigmatism, lazy eye, and reduced side vision in adults.

Diagnosis of ptosis

• Diagnosis is usually made through a comprehensive eye examination to evaluate eyelid position, muscle strength, and visual function.

Treatment of ptosis

• Treatment depends on the underlying cause and severity of the condition and may include:
• Eyelid surgery.
• Medicated eye drops, which may help improve eyelid elevation in certain cases of acquired ptosis.