What is ptosis?
Ptosis is hanging or drop of the both or one of the upper eyelids. The eyelid may slightly droop making it barely noticeable or intensely hang blocking the vision or may cause watery eyes. In this article, we will learn about all the necessary information about Ptosis treatment without surgery and more about it.
How ptosis happens
Due to the dysfunction of the muscles that raised the eyelids or their nerve supply, ptosis may occur. Ptosis may occur in one or both eyes.
As the skin of eyelids may begin to loose in an elderly person, ptosis occurs more commonly in the elders. Children also can be affected by this disease from birth. This is called congenital ptosis.
Congenital ptosis occurs hereditarily and its cause of occurrence is unknown. Damage to the eyelid muscle which raised the eyelid, damage to the superior cervical sympathetic ganglion (part of the autonomic nervous system) or damage to the nerve which controls this muscle can cause ptosis. It may be caused by the aponeurosis of the levator muscle, nerve abnormalities, trauma, and inflammation. Ptosis usually occurs alone but it can have various other conditions like immunological degenerative or heredity disorder tumor or infections. Wearing contact lenses for a long time may cause ptosis.
Types of ptosis
Ptosis can be of several types. But it is characterized in two broad categories, the first one is congenital ptosis and the other one is called acquired ptosis. Both of them are described below:
- Congenital ptosis-
In the womb, if a child does not develop levator muscle or the child is born with little levator muscles then that child is born with ptosis. For this reason, children often have limited vision and always try to see clearly by tilting their head back and forth. If this disease is left untreated child may develop other visual disorder and it may have negative impacts on the child’s vision
- Acquired ptosis-
Ptosis that develops during the lifetime is acquired ptosis. Throughout a lifetime a person may develop five types of acquired ptosis. They are:
- Aponeurotic ptosis
- Neurogenic ptosis
- Myogenic ptosis
- Mechanical ptosis
- Traumatic ptosis
A short description of them is given below:
Aponeurotic ptosis– It’s a common type of ptosis. Due to aging, when levator muscle become overstretched this type of ptosis develops. Excessive eye rubbing or eyelid pulling for irritation or for using contact lenses for a long time this condition happens.
Neurogenic ptosis– When there is a problem in the nerve pathway that controls the movement of the muscles of the eyelid, neurogenic ptosis occurs.
Myogenic ptosis– In this condition muscle weakness is caused by a systematic disorder in levator muscle.
Mechanical ptosis– Excessive skin that weighs down the eyelids.
Traumatic ptosis– Due to an accident or any other eye trauma, if the eyelid is injured then this type of ptosis occurs.
Symptoms of ptosis are:
Symptoms of damage of muscle which raised the eyelid, damage to the superior cervical sympathetic ganglion or damage to the nerve which controls these muscles are:
- Diabetes mellitus
- Brain tumor
- Pancoast tumor (apex of the lung)
- And diseases which cause weakness to the muscle and nerve are
- Myasthenia gravis
- Oculopharyngeal muscular dystrophy
- Revelation in some toxins of snake venom such as black mamba may cause these effects.
- Loss of vision
- Dry eyes
- Aching in and around eyed
- Looking tired
- Most important, hanging out of eyelid which is visible in the mirror.
- Exhausted eyes and eyebrow ache and headache.
As ptosis cause narrowing of the eyelid so most of the time patients are found tilting the head backward and lifting eyebrows to see clearly, as it is blocking the vision.
Effect of ptosis
- Looking aged
- Injury to eyes
- Infection in eyelid
- Tumor in the eyelid or inside the eye
- Ptosis may occur as a side factor of cataract surgery
- Levator muscle problems
- Brain tumor
- Muscle disease like muscular dystrophy
- Cancer of the nerves
Diagnosis of ptosis
Ptosis related cases are mostly of the aged patients which can be diagnosed easily by comparing patient’s past picture and current eyelid appearance
But it is important to consult an expert eye doctor, who will properly diagnose the eye and refer to proper treatment for the patient, as every patient might not need the same treatment
The doctor will ask patients about the symptom he/she experiencing and will also ask about the medical history of the patient including their family’s medical history especially about a disease like a ptosis or muscle disease. After that to examine the eyesight and its area, a physical examination and diagnosis test like CT or MRI will be done by done under doctor’s supervision
If any muscle weakness is found, the doctor may recommend undergoing a blood test to determine if the patient has any disease like autoimmune disorder or myasthenia gravis. Myasthenia gravis is a condition that affects how the response to nerve messages affecting eyelid muscles muscle
Does ptosis get better without treatment?
To say about congenital ptosis, it will not get better without surgery. But if correction is done at the very early age of a child, the child may develop normal vision.
Ptosis caused by a nerve problem that is acquired ptosis may improve without treatment.
How the treatment of ptosis is done without performing surgery
Fortunately, the occurrence of ptosis can be prevented in most cases especially of the aged patient.
Treatment of ptosis depends on how it is caused, so different patient may require different treatment.
How to do ptosis treatment without surgery
- If you notice that your eyelid looks tired or feels heavy and hanging then eyelid exercise may help you. As researchers say that using any muscle more often can reduce muscle weakness, making the muscle more strong and lifted.
- It is seen that cleaning, warming and mildly massaging the eyelid increases circulation and nerve responses making the muscle more flexible.
- Through the concentrated movement of the eye or using stimulated device giving direct stimulation may reduce ptosis as through stimulation a reaction force is conducted in the muscles of the eyelid.
- Eyelid droop can be improved by doing eyelid workout. Workout can be done raising eyebrows or by rolling eyelids. As according to the National Stroke Association doing eyelid workout every hour, reduces ptosis.
- Yogic eye exercise, Trataka is a renowned exercise among the ayurvedic community for improving eye health and eye vision. Trataka is done by fixing eyes at a specific object and staring at it as long as possible without turning the eyes.
- If you have one eye ptosis that is if your one is hanged then do exercises using your affected eye covering another eye with a cloth. This is called eye patch workout. Always try to use the unaffected eye for doing difficult work.
- As we know ptosis may cause pain and irritation, so using chamomile tea bags by soaking them in the hot water and by squeezing excess tea water and putting them on the eyes. As research shows that chamomile tea fights inflammation as it contains a variety of phytochemicals, and calm the nerve. Drinking this tea is also fights cold, lowers sugar level reducing diabetes.
- According to the National Institutes of Health (NIH) Recommended Dietary Allowance (RDA) for vitamin B12 for adults is 2.4 microgram. As this vitamin is needed for neuromuscular function eating fish or beef can keep the balance of RDA.
- Today’s world is technology-based. So, people spend most of their time looking at the computer or smartphone screen which causes eye strain. So it is important to look away from the screen after a few minutes and refocus at something else.
- The standard treatment for ptosis is warm ghee, salt and certain oils combination poured carefully over the eyes by an Ayurvedic medicine professional which is known as Netrapana Therapy. This therapy calms down eye and makes eyes strong.
- There are also some contact lenses which can lift up the eyelid in the correct position.
Those described above are some remedies of ptosis in natural ways. Now let’s discuss some other remedies of ptosis by using chemical.
- Eyelid droop caused by Botox injection can be cured by lopidine eyedrop for faster recovery.
- Anti-wrinkle treatment is that an injection is used for lifting the eyelid.
Another option for the treatment of ptosis is surgery. Those who are suffering from ptosis severely need surgery. Eyelid blepharoplasty is a famous surgery for tightening eyelid. Different types of laser treatment are also done for lifting eyelids. Effect of ptosis stays as long as proper surgery is not performed.
The side effect of ptosis surgery
- Swelling or bruise after surgery
- Asymmetric eyelid height, so need for additional surgery to adjust.
- Overcorrection or under-correction
- Stiffness of the eyelid in downgaze
At last to say, by taking good care of eyes properly before ptosis one can get rid of ptosis. And if by chance a person gets ptosis he or she can get rid of ptosis by doing ptosis treatment without surgery or with surgery. So, take your decision wisely.