Ptosis

Also known as: droopiness of the lids.

What is ptosis?

Ptosis is a drooping eyelid with the upper eyelid falling to a lower position than normal. It may be congenital (at birth or occuring during the first year of life-congenital ptosis) or acquired later in childhood. Congenital ptosis is usually mild involving one eye only, however both eyelids may be affected and not necessarily symmetrically. Most congenital ptosis is mild however it can be severe with the eyelid covering part of the pupil and affecting sight. Ptosis that develops over days to weeks may indicate a neurological problem and needs further evaluation.
 

What causes ptosis? 

Problems with the muscle (levator palpebrae superioris) (muscle replaced by fibrous scar-like tissue) or nerve that lifts the eyelid are the cause of ptosis. These can develop in the fetus before the baby is born (congenital ptosis), or later associated with tumors/growths of the eyelid or eye, thyroid disease, recurrent cysts or eyelid infections, cranial nerve palsies (neurological problems) or associated with other eye muscle disorders like myasthenia gravis.
 

What are the signs/symptoms of ptosis? 

Though the drooping eyelid itself is the main sign, if ptosis is severe with vision problems, the child in addition may tilt the head backwards to compensate for the partially closed eyelid. Others signs/symptoms will depend on an underlying cause.
 

What are ptosis care options? 

Any underlying cause (for example eyelid infection) requires treatment. If ptosis is problematic, surgery to correct the problem is required.


Reviewed by: Jack Wolfsdorf, MD, FAAP

This page was last updated on: 3/23/2018 2:13:30 PM

From the Newsdesk

Pediatric Neurosurgeon and Chief of Surgery for Nicklaus Children’s Passes Away
05/24/2018 — The medical staff, employees and volunteers of Nicklaus Children’s Hospital mourn the passing of our esteemed Dr. Sanjiv Bhatia, a longstanding leader and dedicated champion for children with complex medical conditions and their families.
Medical Mission to Algeria Helps Children in Need of Spinal Surgeries
03/06/2018 — A group of children in Algeria who underwent complex surgeries as part of a 2016 U.S.-sponsored medical mission have many reasons to celebrate, and can do so with better movement of their limbs.

Video

video
Nicklaus Children’s is among the first pediatric facilities in the region to offer robotic single-site incision surgery for children utilizing the da Vinci Xi® system. The technique offers a single incision minimally invasive surgical option for gallbladder or ovarian surgeries in children.