![]() ![]() Sometimes the drooping can be so severe that it can cause a blockage in the peripheral vision. When a patient comes for an evaluation in our clinic, we generally ask if he or she is experiencing any difficulties with vision or performing normal daily activities, like reading or driving. Ptosis or dermatochalasis can cause both cosmetic and functional issues. Determining whether a patient has congenital or adult-acquired ptosis is important when figuring out how to fix the problem. In rare cases, congenital ptosis can be caused by neurologic disorders. This is generally due to a developmental abnormality in the eyelid muscle structure that causes the muscle to be weak and unable to fully lift the eyelid. When a patient has ptosis at a very young age-particularly at birth-it’s called congenital ptosis. Is there a difference between ptosis in children and adults? However, ptosis can occur earlier, depending on the cause. Dermatochalasis and most cases of ptosis occur in people over 40 years old. When do droopy eyelids start to appear?ĭroopy eyelids can occur at any age. Therefore, it’s important to be evaluated by an ophthalmologist to determine the root problem. Ptosis can also be associated with previous eye surgeries or caused by chronic eye drop use or contact lens wear. There are other less common, but potentially more serious, causes of eyelid ptosis, including potential nerve palsies or muscular disorders. As we age, the muscle holding up the eyelid becomes stretched or detached from its base and is no longer as effective in elevating the eyelid. Most cases of ptosis are related to aging. ![]() The other is “ptosis,” which happens when the upper eyelid muscle doesn’t work properly and causes the eyelid itself to droop over the eye. Generally, dermatochalasis is age-related-as skin loses elasticity over time, it can become stretched and droopy and may even affect a patient’s peripheral vision. One is called “dermatochalasis,” which means there is excess skin draping over the upper eyelid fold and causing weight or heaviness on the eyelids and eyelashes. Droopy eyelids can be split into two categories. ![]()
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