{"id":8754,"date":"2020-11-02T10:09:04","date_gmt":"2020-11-02T10:09:04","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=8754"},"modified":"2022-01-19T08:08:56","modified_gmt":"2022-01-19T08:08:56","slug":"ptosis-why-is-my-eyelid-drooping","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/eye-conditions\/ptosis-why-is-my-eyelid-drooping\/","title":{"rendered":"Ptosis: Why Is My Eyelid Drooping?\u00a0"},"content":{"rendered":"<h2><b>What is ptosis?<\/b><\/h2>\n<p>Ptosis, commonly referred to as a droopy eyelid, occurs when the upper eyelid droops down over the eye.<\/p>\n<p>A droopy eyelid can affect one eye (unilateral ptosis) or both eyes (bilateral ptosis) and be mild or severe, intermittent or permanent.<\/p>\n<p><em>When ptosis limits your vision, reading, playing, driving, and even walking can be difficult.\u00a0<\/em><\/p>\n<h2><b>Symptoms of ptosis<\/b><\/h2>\n<p><b>The most common symptom of ptosis is drooping of one or both eyelids.\u00a0<\/b><\/p>\n<p>Additionally, if your vision is obstructed, you may find that you need to tilt your head back or arch your eyebrows for improved vision.<\/p>\n<p>Other common symptoms include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/dry-eye\/what-is-dry-eye-syndrome\/\">Severe dry eyes<\/a><\/li>\n<li style=\"font-weight: 400;\">Watery eyes<\/li>\n<li style=\"font-weight: 400;\">Aching around the eyes<\/li>\n<li style=\"font-weight: 400;\">Eye fatigue<\/li>\n<li style=\"font-weight: 400;\">\u201cSleepy\u201d eyes<\/li>\n<li style=\"font-weight: 400;\">Difficulty blinking<\/li>\n<li style=\"font-weight: 400;\">Trouble closing the eye<\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/neuro-optometry\/vision-and-brain-injuries\/double-vision-diplopia\/\">Double vision<\/a><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/a-guide-to-eye-turns\/strabismus-crossed-eyes\/\">Crossed eyes<\/a><\/li>\n<\/ul>\n<p><b>If experience any of the above signs, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment<\/a> with an eye doctor as it could be a sign of a more serious condition.<\/b><\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/eye-conditions\/4-frequent-eye-diseases\/\">The 4 Frequent Eye Conditions<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>What causes a drooping eyelid?<\/b><\/h2>\n<p>While ptosis is more common among older adults, it can develop at any age.<\/p>\n<p>Conditions that can cause ptosis include:<\/p>\n<p><b>1 Congenital ptosis<\/b><\/p>\n<p><b> <\/b>While uncommon, this condition can occur when the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-anatomy-external-parts-of-the-eye\/\">levator muscle in the top eyelid<\/a> has not developed properly. When a child is born with ptosis, their vision can be affected from a young age\u2014 leading to a delay in their vision development and\/or a <a href=\"https:\/\/www.optometrists.org\/vision-therapy-for-lazy-eye\/amblyopia-lazy-eye\/\">lazy eye (amblyopia)<\/a>.<\/p>\n<p><b>2. Acquired ptosis<\/b><\/p>\n<p>This occurs when an eyelid droop develops from an underlying condition, such as:<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\"><b>Myogenic ptosis: <\/b>when the eyelid cannot elevate properly due to certain diseases, such as myasthenia gravis, congenital myopathies, and myotonic dystrophy<\/li>\n<li style=\"font-weight: 400;\"><b>Aponeurotic ptosis: <\/b>when the levator muscle weakens as a result of aging, making it difficult for the muscle to lift the eyelid into its proper position<\/li>\n<li style=\"font-weight: 400;\"><b>Mechanical ptosis: <\/b>when an eyelid tumor, or other growth causes the eyelid to become too heavy to lift<\/li>\n<li style=\"font-weight: 400;\"><b>Neurogenic ptosis: <\/b>when there is nerve or central nervous system damage<\/li>\n<li style=\"font-weight: 400;\"><b>Traumatic ptosis: <\/b>when the levator muscle becomes dislocated following a trauma to the eye<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><b>How is ptosis diagnosed?<\/b><\/h2>\n<p><b>If you are experiencing symptoms of a drooping eyelid, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an eye exam<\/a> as soon as possible.\u00a0<\/b><\/p>\n<p>Your eye doctor will conduct a full history to determine what may be causing the ptosis and the most appropriate treatment plan.<\/p>\n<p>Your eye doctor may ask you the following questions:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Date of onset<\/li>\n<li style=\"font-weight: 400;\">Duration<\/li>\n<li style=\"font-weight: 400;\">Severity<\/li>\n<li style=\"font-weight: 400;\">Aggravating\/alleviating factors<\/li>\n<li style=\"font-weight: 400;\">Variability<\/li>\n<\/ul>\n<p>Your eye doctor may also perform a series of tests to determine the cause of the ptosis:<\/p>\n<p><b>Slit lamp test &#8211;<\/b> This diagnostic device provides high intensity light and magnification to allow your eye doctor to examine your inner eye. Your eyes may be dilated for this test.<\/p>\n<p><b>Tensilon test &#8211; <\/b>This test is used to rule out myasthenia gravis. During this test, a drug called Tensilon is injected into one of your veins. Your doctor may ask you to stand up and sit down or cross and uncross your legs as your muscle strength is examined. Improved muscle strength with Tensilon administration is generally linked to a positive test, indicating a possible diagnosis of myasthenia gravis.<\/p>\n<p><b><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/visual-field-testing\/\">Visual field test<\/a> &#8211; <\/b>This test is used to determine if the nerves of the retina have been affected by the ptosis.<\/p>\n<p><b>Eyelid tests <\/b>&#8211; Your eye doctor may take measurements of your eyelid\u2019s height and strength to determine if the drooping eyelid is mild, moderate, or severe.<\/p>\n<h2><b>Can ptosis be treated?<\/b><\/h2>\n<p><b>In most cases, ptosis can be treated with medical intervention, though sometimes, especially among children, it can disappear spontaneously.\u00a0<\/b><\/p>\n<p>Treatment generally depends on the underlying cause and severity of the ptosis.<\/p>\n<p>Ptosis caused by an underlying medical condition is generally treated through management of the medical condition. If your eyesight is limited or obstructed, surgery may be recommended as well.<\/p>\n<p><b>Surgery<\/b>: Ptosis surgery involves tightening the levator muscle to elevate the eyelid. This surgery is generally recommended for children in order to prevent a lazy eye that can inhibit the normal development of the visual system<\/p>\n<p>A \u201csling\u201d operation is another type of surgery that involves moving the forehead muscles to lift the eyelids.\u00a0 This surgery may be recommended if the levator muscle is extremely weak.<\/p>\n<p>Though uncommon, as with any surgery there can be risks of complications, such as:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Dry eye<\/li>\n<li style=\"font-weight: 400;\">Corneal abrasion<\/li>\n<li style=\"font-weight: 400;\">Hematoma (collection of blood)<\/li>\n<li style=\"font-weight: 400;\">Positioning the eyelid too high or too low<\/li>\n<\/ul>\n<p><b>Ptosis Crutch: <\/b>If you are not a good candidate for surgery, a ptosis crutch may be recommended.<\/p>\n<p>A ptosis crutch is a specialized device meant to hold the eyelid in place and prevent it from drooping. The device is attached to the frame of any type of eyeglasses, though metal frames work best.<\/p>\n<p>For unilateral ptosis, an <i>adjustable crutch<\/i> is attached to one side of the frame. For bilateral ptosis, a<i> reinforced crutch<\/i> is attached to both sides of the frame.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>Contact an eye doctor near you<\/strong><\/a> to start treatment for your ptosis.<\/p>\n<h2><b>Risk factors\u00a0<\/b><\/h2>\n<p>Certain medical conditions can increase your risk of developing ptosis:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Stroke<\/li>\n<li style=\"font-weight: 400;\">Diabetes<\/li>\n<li style=\"font-weight: 400;\">Stye<\/li>\n<li style=\"font-weight: 400;\">Brain tumor<\/li>\n<li style=\"font-weight: 400;\">Cancer of nerves or eye muscles<\/li>\n<li style=\"font-weight: 400;\">Myasthenia Gravis<\/li>\n<li style=\"font-weight: 400;\">Cranial nerve III palsy<\/li>\n<li style=\"font-weight: 400;\">Horner\u2019s syndrome<\/li>\n<\/ul>\n<p>In some cases,<a href=\"https:\/\/www.optometrists.org\/optical\/laser-refractive-surgery\/\"> laser eye surgery (LASIK)<\/a> or <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-cataracts\/cataract-surgery-what-to-expect\/\">cataract surgery<\/a> can cause ptosis if the muscle or tendon was stretched during the procedure.<\/p>\n<h2><b>Can I prevent ptosis?<\/b><\/h2>\n<p>Unfortunately, there is no way to prevent a drooping eyelid. However, if you notice that your eyelid is beginning to droop, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\"><strong>schedule an appointment<\/strong><\/a> with an eye doctor as soon as possible.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/\">Guide to Eye Conditions<\/a><\/p>\n<p><i>Prompt treatment will help to prevent the ptosis from worsening.\u00a0<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is ptosis? Ptosis, commonly referred to as a droopy eyelid, occurs when the upper eyelid droops down over the eye. A droopy eyelid can<\/p>\n","protected":false},"author":4,"featured_media":8757,"parent":12466,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[132,84,114,85,423,113,422,173,136],"class_list":["post-8754","page","type-page","status-publish","has-post-thumbnail","hentry","tag-acuity","tag-adults","tag-amblyopia","tag-children","tag-drooping-eyelid","tag-lazy-eye","tag-ptosis","tag-surgery","tag-vision-problem"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ptosis: Why Is My Eyelid Drooping?\u00a0 - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/eye-conditions\/ptosis-why-is-my-eyelid-drooping\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ptosis: Why Is My Eyelid Drooping?\u00a0 - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"What is ptosis? 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