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We provide a comprehensive continuum of cancer services, including prevention, outreach, diagnostic, treatment and support services delivered by our highly skilled staff with compassion and care.
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The Center for Women & Children's Health is a hub for supporting women's and children's individual healthcare needs. The center provides support, research and unmatched patient-centered care.
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Emergency and Trauma Services is the only Level I Trauma Center in the area and serves as the tertiary referral center for medical care in East Tennessee, serving Knox County and 21 surrounding counties.
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The Heart Lung Vascular Institute brings together expertise in clinical care, teaching and research. Patients receive exceptional healthcare combined with patient-centered care.
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Ptosis
Definition
Ptosis is also called "drooping eyelid." It is caused by weakness of the muscle responsible for raising the eyelid, damage to the nerves that control those muscles, or looseness of the skin of the upper eyelids.
Alternative Names
Drooping eyelids
Causes, incidence, and risk factors
Drooping eyelid can be caused by the normal aging process, a congenital abnormality (present before birth), or the result of an injury or disease.
Risk factors include aging, diabetes, stroke, Horner syndrome, myasthenia gravis, and a brain tumor or other cancer, which can affect nerve or muscle reactions.
Symptoms
- Drooping of one or both eyelids
- Increased tearing
- If ptosis is severe, interference with vision.
Signs and tests
- A physical examination to determine the cause
- Special tests may be done to evaluate suspected causes, such as myasthenia gravis
Treatment
If an underlying disease is found, the treatment will be specific to that disease. Most cases of ptosis are associated with aging and there is no disease involved.
Surgery can be done to improve the appearance of the eyelids in milder cases if the patient wants it. In more severe cases, surgery may be necessary to correct interference with vision. In children with ptosis, surgery may be necessary to prevent amblyopia.
Support Groups
Expectations (prognosis)
The expected outcome depends on the cause of the ptosis. Surgery is usually very successful in restoring appearance and function.
Complications
If a drooping eyelid is left uncorrected in a child, it can lead to lazy eye.
Calling your health care provider
Drooping eyelids in children require prompt evaluation by an ophthalmologist.
New or rapidly changing ptosis in adults requires prompt evaluation by an ophthalmologist.
Prevention
References
Custer PL. Blepharoptosis. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 12.5.
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