is the medical term for drooping eyelids. It occurs when the upper
eyelid droops to an abnormal level and covers part of the eye,
restricting or obscuring vision. Ptosis can be present in children or
1. Normal aging process- The muscles that elevate the
eyelid stretch and become thinned out and
resulting in a loss of muscle tone
and the inability to hold the upper lid in the
proper position above the eye.
2. A congenital abnormality (present before birth)
3. The result of an injury or disease.
Risk factors include aging, diabetes, stroke, Horner syndrome,
myasthenia gravis, and a brain tumor or other cancer, which can affect
nerve or muscle reactions.
Depending upon the cause it can be classified into:
ptosis which includes oculomotor nerve palsy, Horner's Syndrome, Marcus
Gunn jaw winking syndrome, IIIrd cranial nerve misdirection.
ptosis which includes myasthenia gravis, myotonic dystrophy, ocular
myopathy, simple congenital ptosis, blepharophimosis syndrome
ptosis which may be involutional or post-operative.
ptosis which occurs due to edema or tumors of the upper lid
ptosis which is a classic symptom of envenomation by elapids such as
cobras, or kraits. Bilateral ptosis is usually accompanied by diplopia,
dysphagia and/or progressive muscular paralysis. Regardless, neurotoxic
ptosis is a precursor to respiratory failure and eventual suffocation
caused by complete paralysis of the thoracic diaphragm. It is therefore
a medical emergency and immediate treatment is required.
ptosis due to: 1-Lack of lid support:Empty socket or atrophic globe.
2-Higher lid position on the other side: As in lid retraction
The primary symptom of ptosis is a drooping eyelid of one or both eyes.
1. Children who are born with a ptosis usually tilt their head back in
an effort to see.
2. Difficulty in reading and while driving are common complaints.
3. Raising the entire brow with the muscles of the forehead and scalp
may cause headaches
and eyestrain as well.
4. Difficulty closing the eye completely.
5. There maybe increased watering of eyes.
6. Crossed or misaligned eye and sometimes double vision occurs.
7. Eye fatigue from straining to keep eye(s) open.
If an underlying disease is found, the treatment will be specific to
that disease. Most cases of ptosis are associated with aging and there
is no disease involved.
Surgery can be done to improve the appearance of the eyelids in milder
cases if the patient wants it. In more severe cases, surgery may be
necessary to correct interference with vision. In children with ptosis,
surgery may be necessary to prevent amblyopia.
The expected outcome depends on the cause of the ptosis. Surgery is
usually very successful in restoring appearance and function.
Role of homoeopathy
Homoeopathy has shown its efficacy in improving the power and tone of
muscles. However, it may be noted that the improvement with homoeopathy
may not be as fast as surgery. The role of homoeopathy is more of a
long term control, rather than for acute crisis control. Homoeopathy
with its constitutional approach works at deeper levels to cure the
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