John Bortz, MD | Ptosis Surgery | droopy eyelid | lazy eyelid | acquired ptosis

It is important that women avoid contracting herpes during pregnancy because a newly acquired infection during late pregnancy poses a greater risk of transmission to the baby. Very rarely this can progress to a serious condition accompanied by fever and fatigue. In some cases, a child inherits achondroplasia from a parent who has the condition. Typically the palpebral fissure measures between 28 to 30 mm wide and around 9 to 10 mm in height. Typically the palpebral fissure measures between 28 to 30 mm wide and around 9 to 10 mm in height. Blepharoplasty is not recommended for all.

Anatomically, the inferior skin crease is seen around 3 to 5 mm below the outer aspect of the lid margin. It is distinguished from the forehead skin by the presence of eyebrows. Congenital ptosis is most often treated by ophthalmic plastic and reconstructive surgeons who specialize in disease and conditions affecting the eyelids, lacrimal (tear) system, the orbit (bone cavity around the eye), and adjacent facial structures. Ptosis due to trauma can ensue after an eyelid laceration with transection of the upper eyelid elevators or disruption of the neural input. There is some genetic link in myasthenia, though in most cases the underlying abnormality lies within a gland in the chest called the thymus gland. Patients are classified according to the degree of two parameters:A 3 x 3 matrix is constructed which gives 9 combinations of ptosis (mild, moderate, severe), in jaw-winking (mild, moderate, severe).


As mentioned above, the tissues can be divided into planes by structures called the septum. The main underlying defect in myasthenia gravis (as described briefly above) is autoimmunity. Also, wearing contact lenses for long periods of time is thought to have a certain impact on the development of this condition. Blepharophimosis could require medial canthal tendon plication5 Physiologic defects such as jaw-winking ptosis could require transection of the levator muscle as well as frontalis suspension. The condition is corrected in the same way –surgical adjustment of the musculature. compression of the sympathetic chain by a lung tumor).

In the past, the chin elevation posturing was considered a sign of fusion and, thus, indicating a low risk for amblyopia. Ptosis can be caused by the apneurosis of the levator muscle, nerve abnormalities, trauma, inflammation or lesions of the lid or orbit. This is often called Pseudoptosis and is repaired by Blepharoplasty Repair of ptosis & blepharoplasty could be performed at the same time. This might cause a loss of vision, especially while reading, headaches, and eyebrow strain. Removal of upper eyelid excess skin and fat (often cosmetic in nature and not covered by insurance). The candidate is usually 35 years or older, having baggy, tired-looking lower eyelids and droopy upper eyelids and one who is willing to go under the knife.

This can occur as a result of senescence, dehiscence or disinsertion of the levator aponeurosis. In addition, drooping of the eyelid could result in an undesired facial appearance. Enophthalmos (the impression that the eye is sunk in) and anhydrosis (decreased sweating) on the affected side of the face, loss of ciliospinal reflex and blood shot conjunctiva might possibly occur depending on the site of lesion. The upper eyelid skin might roll over the edge of the eyelid); slide control to the far right to see this effect. Dysfunctions of the levators could occur as a result of a lack of nerve communication being sent to the receptors due to antibodies needlessly attacking and eliminating the neurotransmitter. At the junction of the nerves and muscles (also called neuromuscular junction) are receptors called acetylcholine receptors.

It can affect one eye or both eyes and occurs more frequently in the elderly, as muscles in the eyelids might begin to deteriorate. At the junction of the nerves and muscles (also called neuromuscular junction) are receptors called acetylcholine receptors. Our eyes are probably the most important vital structures we have in our body. Ptosis can be caused by the apneurosis of the levator muscle, nerve abnormalities, trauma, inflammation or lesions of the lid or orbit. Our eyes are probably the most important vital structures we have in our body. Ptosis is an abnormally low position (drooping) of the upper eyelid Ptosis occurs when the muscles that raise the eyelid (levator and Müller’s muscles) are not strong enough to do so well.