Ptosis: Understanding, Symptoms, and Causes



Ptosis is a term to describe the falling eyelids so that the eyes look sleepy. Although it does not hurt, ptosis may indicate the presence of a serious disease that can cause blindness. To be aware of it, recognize this eyelid abnormality more deeply.

Ptosis can occur on one or both eyelids. In severe cases, the drop in the eyelids can cover most or all of the pupils, so vision is limited or completely obstructed.

Ptosis generally develops gradually from birth, although some occur suddenly. Usually, ptosis that appears suddenly leads to serious conditions related to disorders of the brain, nerves, and eye cavity.

Symptoms of Ptosis

The main symptom of ptosis is that one or both of the upper eyelids feel sagging and interfere with vision. You can check whether or not ptosis is done with the following steps:
  • Look straight ahead of the mirror.
  • Pay attention to the pupil part of the eye.
  • Make sure no part of the pupils of the eyes is closed by the eyelids.
If you notice there is a partial pupil of the eye closed, chances are you have ptosis.

Other symptoms that can be felt by ptosis patients include:
  • Must tilt your head back and lift your chin to see perfectly
  • Need to raise an eyebrow to lift the eyelids higher
  • Experiencing complaints on the neck and head, such as neck pain or headaches, because too often do the movements
In addition to the above symptoms, you may also experience other symptoms related to the underlying medical disorder ptosis. For example, if ptosis is caused by myasthenia gravis, you may experience double vision, weakness in the arms or limbs, as well as difficulty speaking, swallowing, or breathing.

Various Causes of Ptosis

Basically, ptosis occurs when the muscle in charge of lifting the eyelid (levator muscle) weakens or stretches. This condition can occur due to various factors. One of them is the impaired development of the levator muscle from birth. This condition is called congenital ptosis.

In addition, weakening of the eyelid muscles can also be caused by age factors and some medical conditions, such as:
  • Myasthenia gravis, which is a disorder that causes gradual and thorough muscle weakness
  • Muscular dystrophy, which is a disorder of the muscles that can weaken the movement of the eye muscles
  • Brain disorders, including strokes, brain tumors, and brain aneurysm
  • Horner syndrome, which is caused by damage to nerve pathways from the brain to the eye due to the presence of other medical disorders
  • Infection or tumor of the eyelid or eyelid
Not only that, ptosis that occurs in adulthood can also occur when the nerves that control the palpebra levator muscles are impaired. It is usually caused by eye injuries, side effects of eye surgery, or botox injection side effects in the area around the eye.

Ptosis Examination and Treatment

As already explained, ptosis can be caused by a variety of things. This condition can be treated, either naturally or through medical treatment, according to the cause. The purpose of ptosis treatment is to improve vision as well as appearance.

Because ptosis treatment must be adjusted to the cause, the ophthalmic doctor will first ask the patient's complaints and medical history, as well as to conduct an eye examination and several other examinations to determine the cause of ptosis.

If it is found that ptosis is caused by a disease outside the eyes, the ophthalmologist may refer the patient to another specialist so that the disease that causes ptosis can be overcome first.

In the case of congenital ptosis, surgery may need to be performed as early as possible to prevent more serious conditions, such as squint eyes or lazy eyes, which can cause vision to get worse during childhood.

Meanwhile, ptosis in adults will usually be treated with extra skin removal surgery and strengthening the eyelid muscles. In addition to surgery, patients can also be given special glasses that serve to remove the eyelids so that they can see better.

Ptosis itself may not be dangerous. However, this condition could be a sign of another disease that needs to be addressed immediately. So, if you have ptosis, immediately check with a doctor to get the right treatment.
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