(H02.4) Ptosis of eyelid
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Diagnosis ptosis of eyelid is diagnosed Women are 19.41% more likely than Men
Men receive the diagnosis ptosis of eyelid
0 (less than 0.1%)Died from this diagnosis.
Women receive the diagnosis ptosis of eyelid
0 (less than 0.1%)Died from this diagnosis.
Risk Group for the Disease ptosis of eyelid - Men aged 65-69 and Women aged 60-64
Disease Features ptosis of eyelid
Ptosis of eyelid - what does this mean
What happens during the disease - ptosis of eyelid
За поднятие века отвечает леватор и мышца Мюллера. Главной мышцей, поднимающей веко, является леватор. Он связан с глазодвигательным нервом. Спереди данная мышца прикреплена к коже верхнего века, снизу — к передней поверхности верхней тарзальной пластинки, вверху — к своду конъюнктивы. Общая длина мышцы примерно 54-60 мм. Длина апоневроза леватора (именно он непосредственно крепится к тарзальной пластинке) примерно 14-20 мм. У верхнего края тарзальной пластинки (хряща века) непосредственно отдаёт волокна к коже, что формирует складку верхнего века.
Мышца Мюллера находится сразу над леватором апоневроза. Её размеры составляют около 20 мм. Она прикрепляется также к верхней тарзальной пластинке, при сокращении поднимает верхнее веко примерно на 2 мм. Так как данная мышца получает иннервацию от симпатических волокон, она отвечает за развитие блефароптоза при синдроме Горнера.
Приобретённый блефароптоз возникает чаще всего при нарушении анатомической целостности и/или функции вышеуказанных мышц (в том числе вследствие нарушения иннервации).
Врождённый птоз чаще связан с миодистрофией и недоразвитием леватора, но иногда он возникает в связи с врождённой неврологической патологией и травмой, которую ребёнок получил во время родов.
Псевдоптоз может развиваться вследствие избытка кожи верхнего века или в связи с ретракцией (сокращением) кожи верхнего века с одной стороны. Это создаёт впечатление развития птоза на противоположной стороне (например, при эндокринной офтальмопатии).
Clinical Pattern
How does a doctor diagnose
- Physical examination of the eye and eyelid
- Evaluation of eyelid position and symmetry
- Evaluation of levator function
- Evaluation of the forehead musculature
- Evaluation of the eyelid and facial muscles
- Evaluation of the ocular surface
- Evaluation of the pupil size and response to light
- Evaluation of the extraocular muscles
- Evaluation of the corneal reflex
- Evaluation of the tear production
- Evaluation of the extraocular movements
- Evaluation of the visual field
- Imaging studies such as CT or MRI scans of the orbit
- Blood tests to rule out any underlying medical conditions
Treatment and Medical Assistance
- Surgery to correct the eyelid position
- Botox injections to weaken the levator muscle
- Prescription eye drops to reduce inflammation
- Application of warm compresses to the affected area
- Massage of the eyelid muscles
- Physical therapy to strengthen the eyelid muscles
Ptosis of eyelid - Prevention
Main symptoms of the disease ptosis of eyelid
Drooping upper eyelid
(Sagging eyelid, Hanging eyelid, Ptosis, Droopy eyelid, Heavy eyelid, Weak eyelid)
Drooping of the upper eyelid (ptosis) is a condition in which the upper eyelid droops, sometimes covering the pupil of the eye. It can be caused by a variety of conditions, including nerve damage, muscle weakness, or trauma. It can also be present at birth. Drooping of the upper eyelid is usually gr...
Decreased vision
(Impaired vision, Blurred vision, Diminished vision, Reduced vision, Fuzzy vision, Clouded vision, Hazy vision, Poor vision, Weak vision, Low vision)
Decreased vision is a symptom of many underlying conditions. It can range from mild blurring of vision to complete loss of sight. It can develop gradually or suddenly, and may be accompanied by pain, headaches, or double vision. Depending on the underlying cause, it can be partial or complete, affec...
Convergent strabismus
(Crossed eyes, Walleye, Squint, Strabismus, Cross-eyed, Wall-eyed, Heterotropia, Heterophoria)
Convergent strabismus is a condition in which the eyes are misaligned, pointing inward. It is commonly known as crossed eyes. It can occur at any age and is usually first noticed in young children. Symptoms include double vision, eyestrain, and difficulty aligning the eyes. It can also cause headach...
Double vision
(Blurred vision, Diplopia, Halos, Optic neuritis, Ocular migraine, Strabismus, Visual disturbances, Ocular palsy, Ocular myasthenia, Retinal detachment, Convergence insufficiency)
Double vision is a condition in which two images of a single object are seen. It can be caused by a variety of conditions, including muscle imbalance, refractive errors, and neurological disorders. Symptoms can range from mild to severe and may include headaches, dizziness, and difficulty focusing. ...
Headache
(Cephalalgia, Hedache, Pounding head, Throbbing head, Ache, Pounding pain, Throbbing pain, Head pain, Migraine, Tension headache)
Headache is a common symptom that can range from mild to severe. It typically develops gradually and can be localized or generalized. Common types of headache include tension-type, migraine, cluster, and sinus headaches, each with their own unique characteristics and manifestations. Tension-type hea...
Eye fatigue
(Visual exhaustion, Eyestrain, Eye exhaustion, Eye strain, Ocular fatigue, Tired eyes, Eye tiredness, Eye weariness, Vision fatigue, Visual stress)
Eye fatigue is a common symptom caused by overuse of the eyes. It is characterized by a feeling of tiredness, burning, and/or dryness in the eyes. It can also cause blurred vision, headaches, and difficulty focusing. Eye fatigue can develop over time with extended periods of staring at a computer sc...