K K EYE Institute

Ptosis

What is Ptosis?

Ptosis (pronounced “toe-sis”) means droopy eyelid(s). One eye looks smaller than the other or both eyes may not open fully.

What causes Ptosis?

Ptosis usually occurs in children as a congenital problem (Problem occurring from birth) due to weakness of the muscles around the eyelid(s). Occasionally there may be other causes, such as trauma or a neurological cause.

Your doctor will do certain tests to find out the cause of your child’s ptosis.

What are the problems associated with Ptosis?

  • Amblyopia (decreased vision or ‘lazy eye’) may occur in the affected eye if the droopy eyelid blocks vision. When both eyes have normal vision and are straight (i.e., not drooping) the eyes aim at the same spot and the brain fuses the two images from each eye into a single three-dimensional image. When one eye droops and the straight line of vision of that eye is affected, the brain receives two different images, which do not exactly overlap. In a young child, the brain learns to ignore the image of the drooping eye and sees only the image from the straight or better-seeing eye (commonly called AMBLYOPIA).
  • The child may have to tilt his or her head back to see better from under the droopy lid(s).
  • Droopy eyelids may cause the child to look uninterested or inattentive.
  • Other people’s reaction to the child’s appearance may affect his or her self-confidence.

What is the treatment for Ptosis?

Various medical and surgical procedures can be used to correct Ptosis. If the child’s vision is affected, surgery must be performed at an earlier age. Your doctor will discuss with you which procedure is best for your child based on the severity of the Ptosis and the age of the child.

What will happen after Surgery?

  • Immediately after the surgery the affected eye(s) is sometimes patched. In most cases, the patch is removed the next day.
  • The eyelid(s) may be swollen and bruised at first. It may take up to several weeks before the lids look better.
  • Antibiotic ointment is used for the affected eye(s) and the area that is stitched.
  • A follow-up check up as advised is needed with your doctor.
  • In some cases, the surgery may be done in stages.
© 2012 K K EYE Institute - Pune India.