Eye drooping symptoms

It is common in life to have drooping upper eyelids, which is related to age. The older you are, the looser your eyelids become, which makes this condition more likely to occur. It is also called "splayed eyes". Some other diseases may also cause this condition, such as decreased renal function, drinking too much water, edema, etc. Clinically, there are neurogenic ptosis and organic ptosis, etc.

Symptoms of ptosis of the upper eyelid : 1. Neurogenic ptosis: This is the result of neural control deficiency. Common causes: ① Oculomotor nerve palsy is often combined with other symptoms of cranial nerve III palsy; ② Oculomotor nerve palsy is less common, characterized by oculomotor nerve palsy on the same side after unilateral migraine; ③ Horner syndrome occurs after sympathetic nerve damage; ④ Synkinetic ptosis (Marcus Gunn syndrome). 2. Myogenic ptosis is caused by defects in the levator palpebrae superioris muscle, such as congenital dysplasia, myasthenia gravis, muscular atrophy, oculopharyngeal muscle dystrophy, and ocular trauma that affect the contraction function of the levator palpebrae superioris muscle. This type of ptosis can be divided into three types: mild (1-2mm), moderate (3-4mm), and severe (5-6mm). The function of the levator palpebrae superioris muscle can be described as: good (>8mm), fair (5-7mm), and poor (4mm or less). This is only used to estimate the amount of congenital ptosis. If it is used for surgical correction of the same amount of acquired ptosis, it will normally result in overcorrection.

It is due to the conduction disorder of the levator palpebrae superioris muscle. The levator aponeurosis is weak due to aponeurosis defect or tear. The aponeurosis may also be infiltrated or replaced by fatty tissue. Aponeurotic ptosis may occur after various types of eye surgery and may be caused by postoperative eyelid edema or excessive extension of the patient's eye when covering the eye, injuring the delicate aponeurosis. The typical manifestation of aponeurotic defects is an exaggerated or blurred eyelid crease (double eyelid), and the eyelid above the tarsal plate is so thin that the pupil can be seen from here even when the patient closes the eyelid.