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Ptosis

Ptosis is a pathological eye condition in which the eyelid falls or droops. It is a condition that can affect adults and children (although it is most common in the elderly) and the degree to which the eyelid droops can vary from barely noticeable to completely covering the pupil (the black spot in the middle of your eye that allows light to enter). Fortunately, there is treatment for the condition.

Symptoms and Signs of Ptosis

Ptosis can be identified by an abnormal drooping of one or both of the upper eyelids. When it only affects one lid, you can notice that the two lids are not in alignment. Often an individual with ptosis will tilt their head backward or raise their eyebrows to see more clearly, which can eventually result in headaches or neck issues. Sometimes when the eyelid droops below the pupil, it is accompanied by obscured vision or causes other eye and vision problems.

What Causes Ptosis?

In adults, ptosis is most frequently a condition related to aging when the muscles responsible for controlling the eyelid, called the levator muscles, become weakened. Ptosis can also be a result of an eye injury or an after-effect of certain types of eye surgery.

In children, ptosis can be a congenital condition in which the levator muscles do not develop properly. If not treated this can lead to problems with the development with the child’s visual system and may cause amblyopia (lazy eye), astigmatism or strabismus (crossed eyes).

Treatment for Ptosis

Prior to a treatment plan, your doctor will complete a comprehensive eye exam along with some other tests to determine the cause of the ptosis. While the treatment does depend on the cause of the condition, surgery to repair the eyelid function is the most common treatment.

The surgical procedure, called blepharoplasty, repairs the levator muscle of the eyelid or attaches the lid to other muscles that can lift the eye (such as the forehead). In mild cases, small adjustments might be made to repair the muscle while other times additional procedures might be done such as removing some of the skin from the lid. The surgeon will determine what needs to be done to tighten the levator muscles or otherwise return the eyelids to their normal position. As with any surgical procedure there are risks to this surgery and in the most serious cases, movement may not return fully or at all to the eyelids.

In children, surgery is usually recommended to avoid potential or existing vision problems. This may come along with additional treatment for amblyopia or strabismus to strengthen the weak eye such as wearing an eye patch, eyeglasses or using eye drops. Any child diagnosed with ptosis will need to have regular evaluations with an eye doctor to monitor the condition and the child’s vision.
If you suspect you or a loved one may have ptosis, try looking at some old pictures to see if there is a noticeable change and of course make an appointment with your eye doctor as soon as possible to assess if there is a problem.

PROTECTING OUR COMMUNITY

We have been working very hard to prepare to re-open for normal "routine" preventive eye care, taking every precaution to ensure the safety of everyone involved. We are pleased to announce as of Monday May 18th we'll be seeing patients for all types of eye care, including routine annual eye exams.

But, things will be very different than they were prior to the pandemic.

1. Our front door will be locked at all times. We will be allowing only 1 person at a time in the office and by appointment only, so please enter alone, or with no more than l other person accompanying you. Others may wait in the car.

2. Masks will be required for both patients and us while in our office.

3. Upon entering, we will be checking your temperature and screen you for COVID symptoms or possible exposure. If your temperature is 100 F or higher, or you have symptoms or may have recently been exposed to COVID, we will reschedule you.

4. We will need you to respect the 6 feet personal distancing while outside the exam room

5. We will have you wash your hands for 20 seconds or use hand sanitizer when you enter. We will be using hand washing and hand sanitizer constantly and will be disinfecting everything you and we touch. Please don't touch anything that isn't absolutely necessary.

6. For frame selection or picking out glasses, please let us help you, and don't just browse and try on frames by yourself. We have to disinfect the frames every time they are touched or worn, and we need to know which frames need to be disinfected.

We are doing all these things to protect you and all of our other patients as best we can. We will need and depend on your cooperation on this during this very difficult time. Doing so will protect your fellow patients-many of whom are at extremely high risk if they contract COVID - and to protect us. All healthcare providers are putting themselves in harm's way every day during this pandemic - the more we all cooperate and take appropriate precautions, the better off we all will be.

We are all in this together. Thank you for your patience, understanding, and cooperation.

Please stay safe.

Dr. Jim Hutchins and staff