![]() The Ptosis surgical procedure is normally carried out under local anaesthetic with sedation (general anaesthetic for children) and takes around 45-90 minutes, depending on whether one or both eyelids are being treated. In other, rarer forms of ptosis, a suspension to the brow is performed, whereby the lifting of the brow region is mechanically coupled to the eyelid. The key step in a droopy eyelid treatment procedure is identifying the muscle controlling the lifting of the eyelid, which is then advanced and reattached to the lid. It can also be performed through the underside of the eyelid, forgoing the need for a skin incision. A hidden incision will be made in the natural skin crease of the upper eyelid. Surgery for ptosis usually involves the advancement of the muscle that raises the eyelid. There are also specialised contact lenses which patients can acquire to hold up the eyelid correctly. These include BoNT and ptosis props, which are attached to glasses. ![]() Non-surgical treatments are also available and certainly have their role in the treatment of ptosis. The surgeon will correct the issue by surgically raising one or both eyelids. The type of treatment offered depends on many factors, but for those suffering from severe ptosis that affects vision and appearance, surgery is recommended. This is a rare condition affecting how the muscles respond to nerve messages and can affect the eyelid muscles, amongst others. If muscle weakness is suspected, the doctor may recommend undergoing a blood test to determine whether you have myasthenia gravis. Where anything abnormal is found, you may need to undergo further diagnostic tests, such as blood tests or an MRI scan. Afterwards, a physical examination will take place to examine the eyes and the neurological system. Whilst the majority of cases of ptosis are age-related, it is important to be referred to an ophthalmologist to exclude any underlying disease.ĭuring your appointment, you will be asked about the symptoms you are experiencing and your past medical history, including whether ptosis or other muscle diseases runs in the family. Unfortunately, it is not possible to prevent ptosis in most cases, and in patients with age-related ptosis, the droopiness can gradually worsen as time goes on. Eyelid droopiness may also occur when they are weighed down by swelling or large cysts. Various neurological conditions can cause droopy eyelids, such as myasthenia gravis or myotonic dystrophy, but these are less common and are usually associated with other symptoms, such as double vision or generalised muscle weakness. ![]() This type of ptosis is called aponeurotic ptosis and occurs as the levator muscle, which lifts the eyelid, disinserts from the tarsal plate within the eyelid. Ptosis most commonly affects adult patients later in life (acquired ptosis), due to age-related changes in the muscles which lift the lid, eye trauma, cataract surgery or contact lens wear. Parents often notice their babies winking at them whilst feeding. The reason for this is due to abnormal nerve connectivity and usually only affects one eyelid. Some small children may have Marcus Gunn ‘jaw-winking ptosis, where the droopy eyelids raise when the jaw is opened. ![]() Congenital ptosis ranges in severity from mild to severe, but it is important that children are assessed promptly to ensure normal visual development. This indicates a defect with the levator muscle, which raises the eyelids. Children can be born with ptosis (congenital ptosis). ![]()
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