Upper eyelid ptosis is drooping of the upper eyelid. Ptosis of the upper eyelid occurs when the eyelid muscles are unable to elevate the eyelid adequately. Eyelid ptosis has many causes, including aging, trauma, scarring, swelling or stretching of the eyelid muscles, as well as nerve damage to the eyelid muscles and inherited or congenital causes. Eyelid ptosis can block the light entering the eye and interfere with vision. Patients with ptosis often complain of a “shadow” in their superior vision or dimmer vision that becomes brighter when they lift their eyelids up with their fingers. Many medical insurance companies will cover surgical ptosis repair if the ptosis causes significant vision impairment. A visual field test performed in Dr. Mckevitt's office can determine the extent of vision loss due to eyelid ptosis and can be submitted to the insurance companies for review.
Eyelid Ptosis Repair
Eyelid ptosis repair is an outpatient surgical procedure that elevates the eyelid to a higher more desirable position and often improves vision as well. Tightening an eyelid muscle that is stretched or thinned often leads to an excellent elevation of the eyelid and complete repair of the ptosis. Ptosis repair is more difficult when the underlying cause of the eyelid ptosis is nerve damage, scarring, or poor development or function of the muscle. In these cases often only partial improvement of the ptosis may be achievable. In severe cases when the eyelid muscles do not function at all as seen in some forms of congenital ptosis or muscular dystrophies, the eyelid can be connected to the eyebrow by a “sling” inserted underneath the skin of the eyelid thus allowing the eyebrow muscle to lift the eyelid.