Lazy Eyes

I'm 24 years old and have a roll of fat above each eyelid, I was told before this is ptosis and can be caused by myasthenia gravis.  Bloodwork came back normal and two EMGs conducted were also normal.  What can be causing this and what can I do?  How can I get surgery to remove this?

[John C Hagan III, MD, FACS, FAAO]

It can be caused by many things, thyroid disease, steroids, old age, obesity, family characteristic, facial shape.

See an oculoplastic surgeon to evaluate your options to correct the problem.

Find one in the USA at www.aao.org elsewhere ask your GP for referral.

JCH MD

[liz0629]

Thanks for the response.  I was tested for thyroid disease and it came out normal.  I'm only 24, I'm not overweight,  no one else has this issue in my family.  I've just noticed it in the last year, I looked back at my pictures, even from 2 yrs ago and I didn't have this problem.  As for steroids, I've used albuterol on and off when I get an asthma attack.  Maybe that's causing it.

[John C Hagan III, MD, FACS, FAAO]

well if you need steroid you need steroids. A eye MD that specializes in oculoplastic should be able to help you although you may run into a problem with insurance coverage that may state its cosmetic. The surgeon can help you with this.
JCH MD

[liz0629]

If the insurance doesn't want to pay, then I'll make the sacrifice of paying for it...Do the droopy eyes cause floaters?  I also have floaters, I went to an eye specialist and he said my vision and retina are good.

[John C Hagan III, MD, FACS, FAAO]

No floaters are unrelated problem. You can ask the Eye MD oculoplastic surgeon to check that while you're in. Use the search feature to read about floaters.

JCH MD

[liz0629]

This Friday, I'll be seeing a neuro-opthamologist who is also a plastic surgeon.  I have a couple of questions which I'll bring in, hopefully I won't forget to do so.  I'll keep you posted, thanks!

[John C Hagan III, MD, FACS, FAAO]

UR welcome

JCH MD

[liz0629]

I saw a neuro opthomologist yesterday who also does reconstructive surgery.  She looked into my eyes, she even flipped my eyelids over and said my eyes looked good.  She asked strange questions like, do you get night sweats, how's your balance, any weakness, shortness of breath, numbness, etc.  She messured the puffiness on my eyelids, she said it's about 10 ml on each lid.  She also ordered a CT scan of my eyes, to me that's strange, what can that exam detect?

[John C Hagan III, MD, FACS, FAAO]

Make sure you don't have tumors behind the eye, make sure you dont have enlargement of tissue behind eye.

JCH MD

[liz0629]

This question has nothing to do with my condition but I was wondering how optical neuritis diagnosed.

[John C Hagan III, MD, FACS, FAAO]

History: blurred vision, pain, having MS,
Findings: decreased vision, central scotoma, loss of color vision, afferent pupil defect, swollen optic nerve

JCHMD

[liz0629]

Sorry for all the questions.  I'm concerned because I've had painful legs with pins and needles, also the lazy eyes and floaters.  I wonder if the neuro opthamologist looked at my optic nerves or if that's the reason why she ordered the ct scan.

[John C Hagan III, MD, FACS, FAAO]

I don't know, you'll have to answer. This was the last question I'm answering.

JCH MD