Ptosis is when the upper eyelids are drooping. Some patients develop ptosis after an injury to the eyelid or after eye surgery, but ptosis is usually a result of aging. Other patients are born with the condition, but it typically develops later in life.

Commonly, ptosis results when the muscle responsible for raising the lid slips from its natural positions. Often ptosis can be caused by loose heavy skin on the upper lid.

Other causes of ptosis include:

• Growth in the eyelid, such as a sty or tumor
• Stroke
• Myasthenia gravis
• Horner syndrome

Ptosis Symptoms

Ptosis occurs when one or both eyelids droop. Ptosis is usually gradual due to aging, but when it occurs suddenly, there may be a greater cause for concern.

Inform your doctor if you have sudden changes or symptoms such as can include:

• Tearing
• Problems closing the eye or blinking
• Changes in vision along with severe drooping

How Does Key-Whitman Eye Center Diagnose Ptosis?

An exam from an eye doctor can help diagnose ptosis. At Key-Whitman Eye Center, Dr. Leslie Pfeiffer will perform testing including visual acuity, peripheral field testing, a slit lamp evaluation as well as an external exam including photographs. If she suspects an underlying condition, she may refer the patient out for further testing by an internist or another specialist.

How Is Ptosis Treated?

Droopy eyelid surgery can be done for medical or cosmetic reasons. It is usually medically necessary when ptosis is severe, and vision is obstructed due to the droopy upper lid covering the eye.

If ptosis affects the patient’s vision, Dr. Pfeiffer will perform surgery to eliminate the drooping. Young patients with mild to moderate ptosis should be checked regularly for other eye problems including amblyopia, refractive error, and muscle diseases.