Ptosis- droopy eyelids
Definition
Droopy eyelids, or ptosis, involve one or both upper eyelids drooping below their normal position, causing cosmetic and potential vision issues
Symptoms
- -Visible drooping of eyelid(s)
- -Difficulty keeping eyelids open
- -Eye fatigue and strain
- -Headaches and neck pain (in children with congenital ptosis)
Reasons for Treatment
- -Affects vision or creates a cosmetic issue
- -Sudden onset or accompanied by severe symptoms like double vision or facial weakness
- -Possible eye infections or other complications
Causes
- - Dysfunction of eyelid muscles (adults)
- - Congenital defects (children)
- - Marcus Gunn jaw-winking ptosis
- - Age, trauma, or neurological conditions
Diagnosis
- - Comparison with past photos
- - Medical history and physical examination
- - Possible CT, MRI, or blood tests for muscle conditions
Treatment Options
- - Surgical correction to raise eyelids
- - Non-surgical options like BoNT, ptosis props, or specialized contact lenses
Surgical Procedure
- - Involves shortening eyelid muscles (Levator or Mullers) or tendons
- - Performed through natural skin creases or the underside of the eyelid
- - Usually under local anaesthetic (general for children)
- - Duration: 45-90 minutes
Post-Operative Care
- - Recovery time: minimal; most return to work soon
- - Pain management with over-the-counter medications
- - Follow-up appointments and proper wound care essential
- - Avoid strenuous activities, swimming, contact lenses, and makeup until fully healed
Risks
Asymmetry, infection, swelling, bruising
Benefits of Surgery
Improved vision, reduced eye strain, and enhanced cosmetic appearance