Lower Eyelid Correction
Lower eyelid correction surgery restores proper eyelid position in ectropion and entropion, reducing irritation, watering and risk of corneal damage.
Ptosis (pronounced toe-sis) refers to a drooping upper eyelid that sits lower than normal. It can affect one eye or both and range from mild to severe.
When the lid droops enough to cover part of the pupil, it can significantly reduce the upper field of vision and cause functional problems such as eye strain, headaches and difficulty reading.
Ptosis may be present at birth (congenital ptosis) or develop later in life (acquired ptosis).
Adult ptosis is most commonly caused by weakened or stretched eyelid muscles, particularly the levator muscle, which lifts the upper lid.
Symptoms vary depending on severity.
Common signs include:
Drooping upper eyelid
Reduced upper visual field
Difficulty keeping the eyes open
Eye strain or forehead tension from lifting brows
Asymmetrical eyelid appearance
Needing to tilt the head back to see
Fatigue when reading
Children: chin-up posture or delayed vision development
In some cases, ptosis may worsen throughout the day as the muscles tire.
Ptosis develops when the eyelid lifting muscles weaken, loosen or fail.
Main causes include:
Age-related stretching or thinning of the levator tendon.
Poor development of the levator muscle from birth.
Third nerve palsy
Horner syndrome
Myasthenia gravis
These require medical evaluation.
Caused by:
Heavy eyelid skin
Eyelid lumps
Previous surgery
Contact lens overwear (especially hard lenses)
Direct injury to the eyelid or surrounding structures.
Can follow:
Cataract surgery
Glaucoma surgery
Blepharoplasty or previous ptosis repair
Age, genetics and prolonged eyelid rubbing also increase risk.
Assessment includes:
Eyelid height measurements (MRD1, levator function)
Evaluation of brow position and eyelid symmetry
Exclusion of neurological causes
Assessment of visual field obstruction
Eyelid photography
Consideration of skin redundancy
In children: assessing impact on visual development
Diagnosis determines whether surgical correction is functional or cosmetic.
Book an assessment if you notice:
Increasing drooping of one or both lids
Reduced vision from eyelid covering the pupil
Forehead strain or brow fatigue
Difficulty reading or driving
A child with a drooping eyelid
A sudden onset drooping lid (requires urgent evaluation)
Early assessment prevents visual strain and, in children, long-term visual impairment.
Lower eyelid correction surgery restores proper eyelid position in ectropion and entropion, reducing irritation, watering and risk of corneal damage.
Blepharoplasty at the Eye Doctor Clinic is consultant led eyelid surgery to correct heavy or drooping eyelids, improve vision, and refresh appearance safely with natural results.
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