Eyelid ptosis

Ptosis is a relatively widespread pathology of the upper eyelid drooping. It is occurring due to various reasons and often affects only the appearance of a patient. Although the functional problems with vision are quite rare, the pathology provides for certain inconveniences.

Development of ptosis in children

Mobility of the affected eyelid can be significantly decreased or even terminated due to ptosis. The pathology interferes with the patient’s vision and the affected person needs to raise brows and throw back head. Depending on the grade of the disease and the complications combined with ptosis surgical correction could be required on certain stages.

Shall the symptoms of this pathology be evident in a child, it is highly recommended to contact the doctor as soon as possible. Ptosis of the eyelid negatively affects the development of the visual analyzer and therefore impairs the quality of vision. Eventually it can result in strabismus, astigmatism or amblyopia.

Diagnostics of ptosis of the upper eyelid

Along with the eyelid drooping there are several other symptoms of ptosis:

  • difficulties at winking;
  • forced upward head posture;
  • impossibility to fully close the eye fissure.

Ptosis of the upper eyelid in children can be accompanied by strabismus, astigmatism or amblyopia – the defect known as lazy eye. Depending on the grade of fading of the skin fold the children can face visual impairment.

Etiology of the development of ptosis

Different conditions may provoke the eyelid drooping:

  • eye trauma;
  • absence of the levator muscle or its underdevelopment;
  • age-dependent weakening of levator muscle;
  • neurological disease leading to a full or partial paralysis of oculomotoric nerve or muschles

In the last case the development of ptosis of the upper eyelid due to the neurological disease is considered to have an acquired character. The pathology can also develop due to multiple sclerosis, stroke, Horner’s syndrome, encephalitis and other diseases. Deformation of the eyelid may occur after eye trauma.

Underdevelopment of the innervating muscle may be often congenital due to complications during pregnancy, birth complications as well as congenital genetic diseases.

Eyelid Ptosis Treatment

In our Crystal Vision EYE Clinic in Bahrain methods of eyelid ptosis treatment are selected by the specialist in each individual case taking into account all characteristics of the disease.

In the most cases surgical operation is recommended to get rid of the existing defect. The operation on ptosis is conducted after the child becomes 3-4 years old: when the eyelid covers 2/3 of the pupil (incomplete ptosis) or 1/3 of the pupil (partial ptosis). If the pathology severely affects the visual function the doctor can decide to make operation before the patient reaches the age of 3-4 years.

Doctors

Dr. Igor Aznauryan

Doctor of Medical Sciences, Professor, Ophthalmologist & Ophthalmic Surgeon, Head of the Crystal Vision Eye clinic

Dr. Victoriya Balasanyan

PhD, Head of the Clinical Department of the Crystal Vision Eye Clinic

Dr. Magomed Uzuev

PhD, Ophthalmologist, Ophthalmic Surgeon

Dr. Maiia Dalalishvili

Ophthalmologist, Strabismologist