Sleepy-looking eyes or the droopy eyelids condition happens when the eyelids start to sag or droop over your eye. If the eyelids droop to the extent that it completely covers your pupil and impairs your vision, seek help from an eye specialist. The condition is seen in one or both upper eyelids. If a child is born with the condition, it is known as congenital ptosis. When you develop the condition as you age it is called acquired ptosis.

While ageing is a common cause of ptosis, a Lasik or a cataract surgery can also lead to upper eyelid ptosis or droopy eyelid condition. These surgeries tend to weaken eye muscles, thanks to the instruments used to keep your eyes open. The condition can also result from frequently using contact lenses, botox injections and nerve damage.

If you are looking for effective treatments for droopy eyelids, our expert doctors at Rani Menon Maxivision eye hospital can help you. We help you tackle specific eye conditions, including Cataract, Cornea, Glaucoma and more with our expert team of ophthalmologists. Depending on the severity of the condition, the type of treatment to correct drooping eyelids may vary.

Causes of Droopy Eyelids

There are several causes for the condition with aging being the most common reason in adults. Meanwhile, some children are born with the condition. Your eye care specialist might factor in age, appearance of the eyelids, levator muscle function and other medical issues before determining the cause. Eye trauma, nerve damage and eye surgeries can lead to droopy eyes. Find the conditions that lead to ptosis as listed below:

• Stye
• Horner Syndrome
• Myasthenia gravis
• Stoke
• Tumour

Symptoms

• Droopy eyelids
• Eyes appearing smaller than usual
• Frequently raising eyebrows to lift the eyelid
• Tilting the head back to try to see under the lid (this can cause head and neck problems)
• Those with ptosis may also display additional symptoms if they have any underlying symptoms.

Diagnosis

The most common symptom of ptosis is droopiness of the eye. The diagnosis might be difficult if both eyelids are affected. If only one eyelid is affected, it is called unilateral ptosis and if both eyelids are affected, it is called bilateral ptosis. Following are the tests that are generally performed to diagnose ptosis.

• Slit lamp examination
• Visual field testing
• Eye movement test
• Tensilon test

Non-surgical Treatment

Generally, non-surgical treatments are recommended for children with droopy eyelids. If the child is facing conditions like amblyopia, your ophthalmologist is most likely to recommend wearing an eye patch or special eyeglasses or using eye drops to lift up the eyelids’ muscles.

Regular eye check-ups are mandatory for children with ptosis as the condition may worsen as they grow older.

Non-surgical treatment options for ptosis include:

• eye drops
• special eyeglasses to strengthen the eyes
• medication

Surgical Treatments

Surgical procedure is generally recommended as a treatment option when it comes to adults. Specific treatment options include:

Frontalis sling procedure

The procedure generally involves correcting the upper eyelid using the forehead muscle. This surgical procedure is generally done for myogenic ptosis in which the levator muscle does not function properly.

Levator resection

This surgical option is another remedy if the levator muscle is not functioning properly. The procedure involves an eyelid crease incision.  The treatment is ideal for those who expect a desirable cosmetic outcome with the surgery.

Patients who get the droopy eyelids condition not related to levator muscle function may also opt for other surgical options like Levator aponeurosis advancement and Fasanella-Servat Mullerectomy.

What to expect?

Patients can rest at home on the same day after a ptosis surgery. However, here are some risks involved post ptosis surgery.

• Infection in the surgical site
• Bleeding from the wound
• under-correction
• overcorrection
• reduced or blurred vision
• damaged cornea

Types of Ptosis

Aponeurotic Ptosis

Aponeurotic ptosis is generally found in individuals in their 50s or 60s. It is the most common type of ptosis. Eye trauma, surgery and wearing contact lenses for a prolonged period may lead to the condition.

Neurogenic Ptosis

The condition frequently results from Horner syndrome and develops when there are issues with nerve pathways in the eyelids. These nerve pathways help control the movement of the eye muscles. Other underlying conditions like tumors, multiple sclerosis and diabetes can indirectly lead to this condition.

Myogenic Ptosis

This ptosis generally occurs due to levator malfunction. Apart from droopy eyelids, the condition may also affect how an individual makes facial expressions.

Mechanical Ptosis

In this condition, the eyelids are forced to droop due to excess fat from the skin.  The “mechanical” drooping can also result from a cyst or a tumor in the upper eyelid.

Pseudoptosis

Frequent twitching of the eye due to conditions like blepharospasm may lead to pseudoptosis. This condition is often caused by a problem with the levator muscle function.

What if you don’t treat the condition?

While congenital ptosis calls for immediate attention as it can impair vision, mild acquired ptosis may not require any treatment. Droopy eyelids may eventually lead to distorted vision or astigmatism and conditions like amblyopia or lazy eye. The condition may also cause severe neck pain and tension in the forehead muscles.

Can we prevent ptosis?

Ptosis can cause difficulty in performing daily activities like driving, reading or climbing stairs can get difficult. Congenital ptosis cannot be prevented. However, acquired ptosis can be prevented if you refrain from using contact lenses and excessive eye rubbing.

Conclusion

Ptosis, often referred to as drooping eyelids, may severely hamper a person’s quality of life and vision. Ptosis, whether congenital or acquired, has to be treated very at once to avoid developing consequences. Ptosis can also result from disorders such nerve damage, styes, and tumors, while age and cataract procedures are the most common causes. People with this problem remain hopeful thanks to the variety of non-surgical and surgical treatment options available, ranging from eye drops and specialty glasses to treatments like levator excision and frontalis sling.

Our skilled doctor at Rani Menon Maxivision Eye Care Hospital has the expertise to accurately detect and compassionately treat ptosis. Preventive care, early intervention, and routine eye exams can significantly improve the management and alleviation of ptosis symptoms. If you observe any indications of droopy eyelids or related vision issues, do not hesitate to seek professional help.

Contact us today to ensure the best care for your eyes and maintain a clear, healthy vision.