Droopy eyelids

by Dr. Robert Benza, MD 7. September 2013 08:32

Droopy eyelids are very common. If one or both of the eyelids have drooped,  this is often known as ptosis. Ptosis can be seen in young children associated with other ocular problems but can also be seen in just about any age group. As we age,  the tissues in the upper eyelids can stretch out and loose some of their strength resulting in a  droopy eyelid.  
 
There are different causes of ptosis. Beyond age,  trauma can result in one or both eyelids drooping. In the first 6 months after trauma, the eyelids could return to their original position.  It is always best to wait in these circumstances before considering surgical intervention in case time fixes the problem. Many patients have extra skin in the upper eyelid which we call dermatochalasis. These patients often think their eyelid is droopy but actually the dermatochalasis is the main problem. The eyelids are typically
in a normal position. Some of these patients undergo a blepharoplasty resulting in removal of the extra skin and then realize their eyelid position is normal. On occasion,  some patients will actually have the eyebrows droop which is a different form of ptosis. This would be eyebrow ptosis. These patients tend to have a dermatochalasis
appearance (extra eyelid skin) due to the droopy eyebrows. When the eyebrows are surgically lifted, the upper eyelids often look normal.
 
There are some medical conditions in adults which can also be associated with ptosis. This would be beyond the scope of this blog. If you have a new ptosis or droopy lid, we would recommend you seeing your eye care professional for evaluation. The eyelids are very important since they help provide a cover for the eye. Remember, protect those eyes!!

 

 

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