Ptosis (Drooping Eyelid)
By Judith Lee and Gretchyn Bailey; reviewed by Vance Thompson, MD
Ptosis refers to drooping of an upper eyelid of one or both eyes. The droop may be barely noticeable, or the lid can descend over the entire pupil. Ptosis happens in both children and adults, but usually occurs because of aging.
Ptosis Symptoms and Signs
The most obvious sign of ptosis is the drooping eyelid. Depending on how severely the lid droops, people with ptosis may have difficulty seeing. Sometimes people tilt their heads back to try to see under the lid or raise their eyebrows repeatedly to try to lift the eyelids.
The degree of droopiness varies from one person to the next. If you think you may have ptosis, compare a recent photo of your face with one from 10 or 20 years ago, and you'll likely see a difference in the eyelid skin.
Ptosis can look similar to dermatochalasis, a group of connective tissue diseases that cause skin to hang in folds. These diseases are associated with less-than-normal elastic tissue formation. Your eye doctor should be able to tell whether or not this is the cause of your drooping eyelids.
What Causes Ptosis?
Ptosis can be present at birth (congenital ptosis) or develop due to aging, injury or an aftereffect of cataract or other eye surgery.
This condition also can be caused by a problem with the muscles lifting the eyelid, called levators. Sometimes a person's facial anatomy causes difficulties with the levator muscles.
An eye tumor, neurological disorder or systemic disease like diabetes may result in drooping eyelids.
Surgery usually is the best treatment for drooping eyelids. Your surgeon tightens levator muscles to lift eyelids, giving you improved vision and appearance. In very severe cases involving weakened levator muscles, your surgeon attaches the eyelid under the eyebrow. This allows the forehead muscles to substitute for levator muscles in lifting the eyelid. Eyelid surgery also is called blepharoplasty.
After surgery, the eyelids may not appear symmetrical, even though the lids are higher than before surgery. Very rarely, eyelid movement may be lost.
It is important to choose your surgeon carefully, since poorly done surgery could result in an undesirable appearance or in dry eyes from lifted eyelids not closing completely.
Before agreeing to ptosis surgery, ask how many procedures your surgeon has done. Also ask to see before-and-after photos of previous patients, and ask if you can talk to any of them about the experience.
case record from Nik Omar Homeopathic Medical Centre at Jalan Raja laut.
Name of Patient Mr ABK Malay Age 42 years. Record 6335
Mr AB came to our clinic on 3 Des 2010 with problem of Right sided of eyelid fall down [ ptosis]. He went to hospital and doctor wanted to operate but the patient refused and this gentleman came to our clinic.
First Treatment 3 / 12/ 2010
We gave aucpuncture treatment externally with 7 acupuncture points round the right eyes. We supply him Arnica 200 c bid taken alternately with Belladonna 30c bid for one week.
Second Treatment 4 / 12/ 2010
Repeat the same acupuncture therapy for 40 minutes
Third Treatment 14 /12/2010
Repeat acupuncture therapy for 40 minutes
The right eyelid completely cured !!
On 4th jan 2011
This patient came back for the treatment where he suffered ptosis on the left side.
On right side of eye is OK but now the get the attack of left sided.
Today we repeat the same procedure as on 3 december 2010.
Hopefully he will be recovered with 4 session of acupuncture therapy and one week of medication.
Bravo homeopathic and acupuncture treatment.
Paragraph 1 " Organon of Medicine, Samuel Hahnemann says, " The Highest and only mission of a physician is to Cure !! "
and we did as what he said.