EYELID, DROOPING
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Description and Possible Medical Problems
If the upper eyelid of one of your eyes appears to droop a little lower than the other, and if it seems to have sagged more with age, you have a condition known as ptosis.
Ptosis occurs when the muscle responsible for raising the upper eyelid becomes weak over time or when the nerve that controls the muscle is damaged in some way. Ptosis is usually hereditary, and both diabetes and myasthenia gravis—a rare condition in which the nerves of the muscles weaken progressively over a period of time—can aggravate the condition. The degree of droopiness can also vary widely over the course of the day; it may hardly be noticeable in the morning, but by nightfall the eyelid may droop considerably.
The good news is that, by itself, ptosis is not a serious problem unless the drooping lid begins to interfere with your vision, or if you believe it is aesthetically unattractive. If this is the case, you should opt for cosmetic surgery that will stop the lid from sagging by removing excess skin from the upper lid.
It’s important for you to determine if the eyelid began to droop suddenly or if the deterioration was gradual, which is a normal sign of aging. If, however, your ptosis is caused by either diabetes or myasthenia gravis, a very rare neurological disease (see “Eyelids That Droop as the Day Progresses” below), you and your doctor need to first address and treat the disease. The drooping lid should return to its previous state after proper treatment of the disease.
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