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Ptosis

Ptosis Infomation

Eyelid ptosis refers to an upper eyelid, which is drooping below its normal position. Ptosis can affect one or both eyes. Ptosis can block our vision, and is often considered a medical issue if the edge of the eyelid is covering any part of the pupil.

 

There are several causes of ptosis.

Aponeurotic (The most common cause) The muscle slipped and is no longer attached to the tarsus.

  • Aging

  • Contact Lens Use

  • Previous Surgery

  • Allergies and chronic Eye rubbing

  • Trauma

 

Congenital ptosis. Congenital ptosis is typically present since birth. It results from poor development of the levator muscle of the upper eyelid.

 

Muscular

Neurogenic

 

Although ptosis typically does not affect visual acuity (except in children), it can block the superior portion of the visual field. Other symptoms include fatigue of the forehead and eyebrows, which is most notable when reading. Some patient must maintain a chin-up position to be able to perform their normal activities.

                                                                                 

Ptosis treatment is based on the severity of the droopiness and function of the levator muscle (muscle which elevates the eyelid). Common ptosis (aponeurotic ptosis) can be treated from the inside surface of the eyelid (internal approach- conjunctival/ Mueller’s muscle resection) or from the outside surface of the eyelid (external approach- levator aponeurosis advancement). The correct approach is based on diagnostic tests performed by Dr. Braunstein during the course of your consultation. In adults, surgery is usually performed while the patient is awake. Repair may be performed with either local anesthesia, local anesthesia with sedation or general anesthesia, depending on the approach. Dr. Braunstein will discuss these options and details during your consultation.

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