ptosis

Information, Symptoms, Treatments and Resources

Definition

Ptosis is also called "drooping eyelid." It is caused by weakness of the muscle responsible for raising the eyelid, damage to the nerves which control those muscles, or laxity of the skin of the upper eyelids.

Alternative Names

Drooping eyelids

Causes, incidence, and risk factors

Drooping eyelid can be caused by the normal aging process, a congenital abnormality (present before birth), or the result of an injury or disease.

Risk factors include aging, diabetes, stroke, Horner's syndrome, myasthenia gravis, and a brain tumor or other cancer, which can affect nerve or muscle reactions.

Symptoms

Signs and tests

  • A physical examination to determine the cause
  • Special tests may be done to evaluate suspected causes, such as myasthenia gravis

Treatment

If an underlying disease is found, the treatment may be specific to that disease. Most cases are associated with aging and no underlying disease will be found.

Surgical correction can be done to improve the appearance of the eyelids in milder cases if the patient desires it. Surgery may be necessary to correct interference with vision in more severe cases. In children with ptosis, surgical correction may be necessary to prevent amblyopia.

Expectations (prognosis)

The expected outcome depends upon the cause. Surgical repair is usually very successful in restoring appearance and function.

Complications

If a drooping eyelid is left uncorrected in a child, it can lead to lazy eye.

Calling your health care provider

Drooping eyelids in children require prompt evaluation by an ophthalmologist.

New or rapidly changing ptosis in adults requires prompt evaluation by an ophthalmologist.

Illustrations and Images
Review date: August 08, 2006
Reviewed by: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle, WA. Review provided by VeriMed Healthcare Network.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. � 1997- 2008 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.