When the eyelid normally covers the pupil (cornea) by 2 mm and the eyelid more than 2 mm, it is called ptosis.
Ptosis can be congenital or it can occur later on, ptosis seen from birth depends on the insufficient development of the muscle that should open the eyelid, it can be seen unilaterally or bilaterally. In this case, it is important whether the droopy eyelid prevents vision because vision development in children continues after birth If the eyelid is low enough to prevent vision, it causes lazy eyes.
Surgery should be performed on these children, if the degree of ptosis does not prevent them from seeing, they should be treated with surgery before they start school. One-third of these children may need glasses with droopy eyelids, and lazy eyes may occur if the need for glasses is not met.
If ptosis covers the visual axis, the surgical method specified as the frontal sling is applied using special silicone materials. In older children and adults, the operation is performed according to muscle function.
What are the symptoms of ptosis (droopy eyelid)?
A symptom of ptosis is a droopy eyelid. The eyelid, which normally covers the cornea by about 1 ml, covers more.
Lazy eyes may also occur, especially in pediatric patients, when the visual accent is covered. This is its most important feature. That’s why children should be very careful.
When the person moves the eyelid, when he looks up or down, especially when he looks up, the eyelid does not rise up and covers the visual accent. This is the most important symptom of ptosis.
Ptosis (Drop Eyelid) Surgery
In eyelid drooping surgery, an evaluation is made according to the strength of the muscles that lift the eyelid. If the strength of the muscle is weaker than normal, surgery is planned accordingly.
We have certain values when determining muscle strength. Between these values, the decision is made according to the strength of the muscle.
For example, between 0 and 4 ml, 4-8 ml, 8-12 ml, and over 12 ml, the muscle that lifts the eyelid is planned and classified accordingly.
In individuals with weak muscle strength, that is, individuals with 4 ml or less, the success of a surgery performed on muscle strength is very poor. Therefore, it is not correct to intervene in the muscle that lifts the eyelid in such patients.
It is more appropriate to use an external material or materials taken from the autogenous body to lift the muscle. Eyelid drooping can be removed by using external silicone materials as external materials.
Who gets ptosis (droopy eyelid)?
Ptosis can be seen congenitally in the newborn period in children. Adults may have ptosis. The situation in adults can be in contact lens wearers.
As age progresses, ptosis may appear depending on the progression of age. Apart from this, ptosis can be seen together with muscle diseases.
What are the Risk Factors for Ptosis (Drop Eyelid)?
One of the most important risk factors that will cause the formation of ptosis is the use of contact lenses. The use of contact lenses can damage the muscle that lifts the eyelid over time and cause ptosis.
Again, excessive rubbing of the eyelid can cause the muscle that lifts the eyelid to separate from the main attachment point over time.
Eyelid drooping can be seen after infections and conjunctival inflammations. In this way, ptosis may be risk factor.
What Causes Unilateral Ptosis (Drop Eyelid)?
Eyelid drooping can be unilateral or bilateral. There is no such thing as one-sided or double-sided. This completely depends on the condition of the disease or pathology.
It can be unilateral or bilateral, whether congenital or later. However, the picture we usually see in muscle diseases is in the form of bilateral ptosis.
In the other disease group, we can see unilateral ptosis or bilateral ptosis. There is no reason for this.