![]() The doctor then asks them what they see on the edges of their visual field. With the other eye, they focus on something in front of them. In most cases, the doctor has the person cover one eye. Visual field testing is a way to measure someone’s peripheral vision. Peripheral vision loss can occur with different brain and eye disorders. The doctor may perform this test to examine different eye structures, including the conjunctiva, eyelids, lens, cornea, iris, and sclera. The doctor usually puts a dye into the eyes and may also use another medicine to dilate the pupils. If further eye testing is necessary, a slit-lamp examination might be considered. However, if the doctor suspects that a medical condition may be the underlying cause, further testing may be needed.ĭuring the evaluation, the doctor may take photos of the person, so they can compare them in the future to determine treatment success or ptosis progression. The drooping is obvious in these cases, so no further diagnostic tests are necessary. Diagnosing Ptosisįor some people, all a doctor will need to do is perform a physical examination. An injury that affects the levator muscle may cause the eyelids to droop. For others, aging may result in their eyelids drooping. Some people are born with this condition. Tumor behind or around the affected eye.Stye or another issue that can cause eyelid swelling.Damage to the nerves associated with the levator muscle.Ĭertain medical conditions may cause eyelid drooping to occur.If the levator muscles have a functional or anatomical abnormality, this can result in ptosis. The levator may become disinserted as a result of certain types of trauma, causing this type of ptosis.įor some people, corrective eye surgeries or cataract surgery may cause ptosis as a complication of the procedure. Central nervous system damage may also cause this type of ptosis. This type occurs as a result of sympathetic or oculomotor nerve damage. This may be due to orbital fat prolapse, blepharochalasis, or eyelid tumors. With this type, the muscles cannot raise the eyelid because it is too heavy. They then suffer the effects of gravity as a result of aging, causing an eyelid to droop. The aponeurosis of the levator muscle and the muscle itself lose tone. This type of ptosis is usually seen in elderly people. The levator muscle dysfunctions, which stops the eyelid from going up into the correct position. This type occurs as a result of certain diseases, such as myasthenia gravis, congenital myopathies, and myotonic dystrophy. All of these types of ptosis occur as a result of an underlying medical issue. There are several subtypes that fall under this category. This type of ptosis can affect one or both eyes. While the condition is benign, it can result in cosmetic, psychological, and function problems for children. It is a rare condition that will be persistent without treatment. In the most severe cases, the eyelid may cover the pupil entirely.Ĭongenital ptosis is a type that is present when someone is born. For other people, it can make it hard for them to see. For some people, it may be subtle and not always noticeable. When someone has ptosis, eyelid drooping is the most prominent symptom, but it is possible for other symptoms to occur too. Once a doctor evaluates the person, they can provide a more realistic view of what they may be able to expect with treatment. The outlook for this condition is individualized. It is important to understand the potential risks of surgery before receiving treatment though. Once a doctor makes an accurate diagnosis, they will prescribe treatment options. If both eyelids are affected or the drooping is very subtle, further testing might be necessary to diagnose this condition. If only one is affected, doctors can often make a diagnosis by simply looking at the differences in the person’s eyelids. This condition may affect both eyelids or just one. Several factors can contribute to the abnormal function of this muscle, resulting in ptosis. The muscle is not properly holding itself in the right position or moving in the correct way. When this condition is present, the levator muscle is affected.
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