A Simple Guide To Drooping Eyelid, (Ptosis) Diagnosis, Treatment And Related Conditions

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About A Simple Guide To Drooping

Eyelid drooping (Ptosis) is excess sagging of the upper eyelid. The edge of the upper eyelid may be drooping lower than it should be (ptosis) or there may be excessive baggy skin in the upper eyelid (dermatochalasis). Eyelid drooping is often a combination of both disorders.It can be unilateral or bilateral, complete or incomplete, acquired or congenital. Lid lag means delay in moving the eyelid as the eye moves downwards. It is a frequent sign in thyroid disease when it is known as Graefe's sign.A drooping eyelid is most often due to:1. Weakness of the muscle that raises the eyelid2. Damage to the nerves that control that muscle3. Looseness of the skin of the upper eyelids Drooping eyelid can be: 1. Caused by the normal aging process2. Present before birth3. The result of an injury or disease Diseases or illnesses that may lead to eyelid drooping are:1. Tumor around or behind the eye2. Diabetes3. Horner syndrome4. Myasthenia gravis5. Stroke6. Swelling in the eyelid, such as with a stye The lid may cover only the upper eye, or the entire pupil will be covered.Disorders with vision will also be present. Initially, there is just a sense that the very upper field of vision is being blocked.When the drooping eyelid covers the pupil of the eye, the upper part of vision becomes obstructed.Children may tip their head back to allow them see under the eyelid.Tiredness and aching around the eyes may also be present.Adults normally observe a change in their appearance and may complain that they always look sleepy and tiredThey may also notice reduced visual fields.A history should cover:1. The date of onset,2. Any previous trauma or eye surgery,3. Relieving or aggravating surgery and4. Any relevant family or medical history.In children with congenital ptosis, there