The abnormal low position of the upper eyelid is called ptosis. It is also known in different names such as ‘droopy eyelid’, ‘blepharoptosis’ or ‘lazy eyes'(amblyopia). In certain cases, it may not be easily noticeable or some may cover the pupils, iris and other parts of the eyes. Severe cases may lead to conditions such as amblyopia or astigmatism.
Generally, there are two types of ptosis- acquired and congenital. The common type among them is acquired ptosis. The main cause for acquired ptosis is considered due to the weakness of muscles that help the eyelids to elevate. It may sometimes become weak, thin or stretched and cause ptosis. Congenital ptosis will be present in the individual from the birth itself. It may be due to the lack of eyelid muscle development. Eyelid muscles are called elevators.
The main symptoms of ptosis are:
- Drooping eyelid
- Difficult to shut or open the eye
- Extra skin on or around the eyelid
- Eye fatigue
- Misaligned eyes
- Double vision etc.
Ptosis surgery is performed to correct ptosis or sleepy eyes. An ophthalmologist or a specialist in eyelid surgery can perform the surgery very well. During the procedure, the surgeon will tighten up the muscle called levator and lift the eyelids. This will help to improve the vision and appearance. Too weak levators may require much more complicated procedure. The surgery will have the complications of any other normal surgery. Swelling and bruising, which are the main complications, will last for 2-3 weeks. When they get resolved, the surgeon will remove the sutures. There might not be other major complications for ptosis surgery. It may take six weeks to heal completely. During follow-up treatment process, the patient might be given some antibiotics to prevent infection and to relieve pain.
You will have to take rest for sometime and have to follow the instructions of the doctor. The doctor will suggest you to keep your head elevated while you are at rest. You may also have to avoid excessive physical activities and strain for one or two weeks after the surgery. You can return to normal life in seven to ten days after surgery.