{"id":3891,"date":"2023-10-27T07:44:49","date_gmt":"2023-10-27T01:59:49","guid":{"rendered":"https:\/\/medicosnext.com\/?p=3891"},"modified":"2023-10-27T10:45:09","modified_gmt":"2023-10-27T05:00:09","slug":"droopy-eyelids","status":"publish","type":"post","link":"https:\/\/medicosnext.com\/?p=3891","title":{"rendered":"DROOPY EYELIDS"},"content":{"rendered":"<blockquote><p><span style=\"font-weight: 400;\">Our eyes narrate our emotions and stories to the world without uttering a single word. But what if, instead of an open book, they turned secretive, veiled by the dropping of one or both eyelids?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ptosis, or the drooping of one or both upper eyelids, is a quiet adversary that, if left unaddressed, can obscure the world we perceive.<\/span><\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">It is said that our eyes are the windows to our souls, but what if these windows to our souls were shrouded by an uninvited curtain, causing them to droop and dim? Our eyes narrate our emotions and stories to the world without uttering a single word. But what if, instead of an open book, they turned secretive, veiled by the dropping of one or both eyelids? This is a condition that transcends age, affecting both the youngest among us and those who have witnessed the passage of time. Ptosis, or the drooping of one or both upper eyelids, is a quiet adversary that, if left unaddressed, can obscure the world we perceive. Join us on a journey as we unveil the secrets of ptosis, from its causes to its treatments, and discover how it influences our lives in ways we might never have imagined.<\/span><\/p>\n<h2><b>What is ptosis?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u00a0Ptosis (Blepharoptosis) means drooping of the upper eyelid of one or both eyes. It can limit or even completely block vision and can affect both children and adults.<\/span><span style=\"font-weight: 400;\"> Proper evaluation, diagnosis, and accordingly, treatment are the key to management of ptosis.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>CONGENITAL PTOSIS:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is a condition characterized by an abnormal drooping of one or both upper eyelids that is present at birth or shortly thereafter.\u00a0<\/span><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3893 aligncenter\" src=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-5.png?resize=300%2C148&#038;ssl=1\" alt=\"\" width=\"300\" height=\"148\" srcset=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-5.png?resize=300%2C148&amp;ssl=1 300w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-5.png?w=512&amp;ssl=1 512w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><b>CAUSES<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">It is most commonly due to maldevelopment of the levator palpebrae superioris muscle, the muscle that lifts the eyelid. In these cases, instead of a healthy functioning muscle to lift it, the eyelid has fibrotic (scar-like) tissue that allows very minimal movement of the eyelid, if any at all.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Signs of Ptosis:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drooping of upper eyelid\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Absent lid crease or a faint crease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Affected eye looks smaller than normal<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Positional changes in an attempt to see better :\u00a0<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">head tilt, chin lift, or raised eyebrows.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Having ptosis puts a child at risk for vision problems. If the child\u2019s eyelid droops so much that it blocks vision,\u00a0<\/span><a href=\"https:\/\/www.aao.org\/eye-health\/diseases\/amblyopia-lazy-eye\"><span style=\"font-weight: 400;\">amblyopia (also called \u201clazy eye\u201d)<\/span><\/a><span style=\"font-weight: 400;\">\u00a0can develop. One eye will have better vision than the other. A child with ptosis can also have\u00a0<\/span><a href=\"https:\/\/www.aao.org\/eye-health\/diseases\/what-is-astigmatism\"><span style=\"font-weight: 400;\">astigmatism<\/span><\/a><span style=\"font-weight: 400;\">, where they see blurry images. The child may also develop misaligned (crossed) eyes.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>ACQUIRED PTOSIS:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is defined as drooping of upper eyelid which is acquired later in adulthood. It can occur from many causes listed below:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Aponeurotic ptosis<\/b><span style=\"font-weight: 400;\"> (most common )<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In this, the levator muscle of the eyelid becomes overstretched, usually due to aging. Excessive eye rubbing or eyelid pulling due to eye irritation or long-term contact lens use can also cause it.<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Neurogenic ptosis<\/b><span style=\"font-weight: 400;\"> occurs when there is a problem with the nerve pathway that controls movement of the eyelid muscles. Causes include\u00a0<\/span><a href=\"https:\/\/nyulangone.org\/conditions\/myasthenia-gravis\"><span style=\"font-weight: 400;\">myasthenia gravis<\/span><\/a><span style=\"font-weight: 400;\">, third nerve palsy, and Horner\u2019 syndrome.\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Myogenic ptosis<\/b><span style=\"font-weight: 400;\">, the levator muscle is weakened due to a systemic disorder that causes muscle weakness. These conditions may include chronic progressive external ophthalmoplegia and types of\u00a0<\/span><a href=\"https:\/\/nyulangone.org\/conditions\/muscular-dystrophy\"><span style=\"font-weight: 400;\">muscular dystrophy<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Mechanical ptosis<\/b><span style=\"font-weight: 400;\"> where the eyelid is weighed down by excessive skin or a mass\/tumor.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Traumatic ptosis<\/b><span style=\"font-weight: 400;\"> is caused by an injury to the eyelid\u2014either due to an accident or other eye trauma. Here the injury compromises or weakens the levator muscle.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><b>TREATMENT:<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Oculoplastic surgeons consider the following factors when deciding the best way to treat ptosis:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The child\u2019s age<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Whether one or both eyelids are involved<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The eyelid height<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The strength of the eyelid\u2019s muscle<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The eye\u2019s movements<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In most cases, we recommend surgery to treat ptosis in children. This is to either tighten the levator muscle or attach the eyelid to other muscles that can help lift the eyelid. The goal is to improve vision.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If the child also has developed lazy eye( amblyopia), that condition must be treated as well. Amblyopia may be treated by wearing an eye patch or special eyeglasses, or using certain eye drops, to strengthen the weaker eye.<\/span><\/p>\n<p><b>All children with ptosis\u2014whether or not they have surgery\u2014should see their ophthalmologist regularly for eye exams.<\/b><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>SURGICAL MANAGEMENT OF PTOSIS:<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">The technique most suitable for each patient depends on the degree of eyelid ptosis and the strength of the muscle that lifts the eyelid (the levator palpebrae superioris).\u00a0<\/span><\/p>\n<p><b>Mild eyelid ptosis<\/b><span style=\"font-weight: 400;\"> with a strong levator muscle may be repaired with an internal approach through the inside of the eyelid, a procedure called <\/span><b>conjunctivo-Mullerectomy<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3894 aligncenter\" src=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-1.jpg?resize=273%2C300&#038;ssl=1\" alt=\"\" width=\"273\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-1.jpg?resize=273%2C300&amp;ssl=1 273w, https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/unnamed-1.jpg?w=466&amp;ssl=1 466w\" sizes=\"auto, (max-width: 273px) 100vw, 273px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">FIG: Left eye Mild ptosis corrected via Mullerectomy<\/span><\/p>\n<p><b>Moderate ptosis<\/b><span style=\"font-weight: 400;\"> with a functioning levator muscle may be repaired with an external approach through the eyelid skin, a procedure called <\/span><b>levator advancement<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">FIG: Right eye moderate ptosis corrected via Levator Advancement<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><b>Severe ptosis<\/b><span style=\"font-weight: 400;\"> with a weak or non-functioning levator muscle may be repaired with a procedure that involves taking advantage of the forehead muscles to lift the eyelids and open the eyes, a procedure called a <\/span><b>frontalis sling<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">FIG: Right eye severe ptosis corrected via Frontalis Sling<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In adults ptosis surgery is usually done as an outpatient procedure, which means you can go home the same day as the surgery. A local anesthesia will be used to numb your eye and the area around it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However in children this has to be done under general anesthesia.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our eyes narrate our emotions and stories to the world without uttering a single word. But what if, instead of an open book, they turned secretive, veiled by the dropping of one or both eyelids? Ptosis, or the drooping of one or both upper eyelids, is a quiet adversary that, if left unaddressed, can obscure &hellip;<\/p>\n","protected":false},"author":110,"featured_media":3892,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[39,107],"tags":[1523],"class_list":["post-3891","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-feature","category-flash-news","tag-ophthalmology"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/medicosnext.com\/wp-content\/uploads\/2023\/10\/tinywow_Droopy-eyelid_29741882-1024x595-1.webp?fit=1024%2C595&ssl=1","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/3891","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/users\/110"}],"replies":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3891"}],"version-history":[{"count":1,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/3891\/revisions"}],"predecessor-version":[{"id":3895,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/posts\/3891\/revisions\/3895"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=\/wp\/v2\/media\/3892"}],"wp:attachment":[{"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3891"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3891"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicosnext.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3891"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}