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Ptosis (Drooping Eyelid)

Diagnosis, symptoms, and treatment methods.

General Information About Ptosis

Ptosis is the dropping of the upper eyelid below its normal level due to the weakening of the levator muscle or its nerve, thereby narrowing the visual field. It can be congenital, age-related, or caused by neurological diseases (such as Myasthenia Gravis). In our Oculoplastics unit, aesthetic and functional correction is achieved surgically through muscle resection or suspension methods.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Ptosis (Drooping Eyelid)?

It is the sagging of the upper eyelid from its normal position, dropping low enough to cover the colored part of the eye (iris) or the pupil.

Is it Congenital or Acquired?

Both are possible. In infants, it can be congenital due to poor development of the muscle that lifts the eyelid (Congenital Ptosis). In adults, it is acquired later in life as the tendons holding the muscle loosen with age (Acquired Ptosis).

What Neurological Diseases Could It Signal?

A sudden acquired drooping of the eyelid (especially one that worsens later in the day) can be the first sign of Myasthenia Gravis, Horner's Syndrome, or a 3rd cranial nerve palsy in the brain.

Why Does It Threaten Vision in Babies?

If the eyelid completely covers the infant's pupil (visual axis), that eye cannot receive light. The brain shuts down the nerves of the unused eye, resulting in permanent 'Lazy Eye' (Amblyopia). This condition requires emergency surgery.

Can It Be Confused with Saggy Skin (Dermatochalasis)?

Yes. In advanced age, the skin of the upper eyelid may become loose and sag downward (Dermatochalasis); however, the muscle that lifts the lid is intact here. In ptosis, there is no issue with the skin itself; the muscle mechanism of the eyelid is defective.

How is the Surgery Performed?

If the problem is muscle weakness, surgery is performed. If the muscle that lifts the eyelid (levator) still has some strength, the muscle is surgically shortened and tightened (resection surgery). If the muscle has no power at all, the eyelid is suspended from the forehead muscle (frontal sling), allowing the eye to open via forehead movement.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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