Unilateral Ptosis: Causes & Reasons

Warning: Do not use in emergencies, if pregnant, if under 18, or as a substitute for a doctor’s advice or diagnosis. Learn more

Possible Causes for Unilateral Ptosis

Oculomotor Nerve Paralysis

[…] of a unilateral ptosis? [oxfordmedicaleducation.com]

With unilateral third cranial nerve palsy, the involved eye usually is deviated down and out (infraducted, abducted), and there is ptosis, which may be severe enough to cover [ispub.com]

Other patterns of weakness cannot occur with nuclear lesions, such as III nerve palsy with unilateral ptosis or unilateral mydriasis. [neuroophthalmology.ca]

Congenital Ptosis

In 3.9% of the cases (5/128; 2 eyes with unilateral and 3 eyes with bilateral ptosis) we assumed SDA. [ncbi.nlm.nih.gov]

[…] were found in patients with mild or moderate unilateral ptosis. [ncbi.nlm.nih.gov]

(1) compared with the normal population, an overall higher frequency of myopia in human congenital ptosis; (2) in unilateral ptosis, a higher frequency of myopia in the ptotic [ncbi.nlm.nih.gov]

Horner's Syndrome

A 17-year-old girl was admitted with a 1-year history of right-sided headaches and unilateral ptosis for 6 months. She was diagnosed with Horner's syndrome. [ncbi.nlm.nih.gov]

Infants present with unilateral ptosis but also with associated miosis. [webeye.ophth.uiowa.edu]

Ptosis secondary to a Horner's syndrome can usually be distinguished from isolated congenital ptosis because of the associated ocular and adnexal findings. [webeye.ophth.uiowa.edu]

Brain Stem Disorder

Patients often have a Horner's syndrome (unilateral ptosis, miosis and facial anhidrosis). [tchain.com]

However, a lateral fascicular III lesion affecting the superior recti, inferior oblique and levator may cause a monocular elevator palsy with unilateral ptosis (51). [neuroophthalmology.ca]

It is typified by vertigo, ipsilateral hemiataxia, dysarthria, ptosis and miosis. [tchain.com]

Myasthenia Gravis

A46-year male presented with unilateral ptosis and diplopia. [ncbi.nlm.nih.gov]

Ptosis may be unilateral or bilateral or may alternate sides. [emedicine.com]

Alternating ptosis, i.e., unilateral ptosis that remits and is followed a variable interval by ptosis of the other eye, is highly suggestive, as is diurnal fatigue of an extraocular [myasthenia.puhs.org]

Ophthalmoplegic Migraine

We report a rare case ofophthalmoplegic migraine associated with isolated, recurrent unilateral eyelid ptosis in a 10-year-old girl. [ncbi.nlm.nih.gov]

To report a rare case of isolated, recurrent unilateral eyelid ptosis as the sole manifestation of ophthalmoplegic migraine in a healthy young girl. [ncbi.nlm.nih.gov]

An 11-year-old girl presented with abrupt unilateral (right) ptosis and diplopia for 3 weeks [Figure 1]. [pediatricneurosciences.com]

Berry Aneurysm

Eyelids dropping, especially unilaterally (ptosis). Movement disorders (ataxia), especially unilaterally. [medigoo.com]

Lambert-Eaton Syndrome

She recently developed unilateral ptosis and diplopia which dramatically improved with pyridostigmine suggesting concomitant MG. [ncbi.nlm.nih.gov]

One year later, she had a single episode of transient unilateral eyelid ptosis and dysphagia. [docksci.com]

Syringobulbia

This is drooping of eye lid which could be unilateral or rarely bilateral. [explainmedicine.com]

[…] for pain and temperature on face. [1][6] Dysphagia Due to the palatal and pharyngeal wall paralysis patients may have neurological type of dysphagia and reflux. [1] Ptosis [explainmedicine.com]

Children may rarely present with stridor even. [1] Paraesthasia of the face Due to the involvement of trigeminal nerve there could be bilateral or unilateral sensory impairment [explainmedicine.com]

Cavernous Sinus Thrombosis

Ptosis, chemosis, cranial nerve palsies (III, IV, V, VI). [en.wikipedia.org]

These include periorbital edema (initially unilateral but typically bilateral), lid erythema, chemosis, ptosis, proptosis (due to impaired venous drainage of orbit), restricted [ncbi.nlm.nih.gov]

Classic presentations are abrupt onset of unilateral periorbital edema, headache, photophobia, and bulging of the eye (proptosis).Other common signs and symptoms include: [en.wikipedia.org]

Orbital Cellulitis

Ptosis. Orbital cellulitis [ 2 ] Anterior features: Acute onset of unilateral swelling of conjunctiva and lids. Oedema, erythema, pain, chemosis. [patient.info]

Guillain-Barré Syndrome

The examination found no signs of pupillary defects, eyelid ptosis, or nystagmus. Bilateral hyporeflexia was detected throughout the patient's body. [jaoa.org]

Examination findings by neurology clinic staff included slight exophoria of the right eye upon leftward gaze during cover-uncover (ie, unilateral) testing, as well as subtle [jaoa.org]

Rhinocerebral Mucormycosis

As the infection spreads, ptosis, proptosis, loss of extraocular muscle function, and vision disturbance may occur. [cdc.gov]

Symptoms may include unilateral facial swelling, headaches, nasal or sinus congestion or pain, serosanguinous nasal discharge, and fever. [cdc.gov]

Pancoast Syndrome

In some cases, blood vessel occlusion may lead to unilateral edema that further contributes to muscle atrophy. [symptoma.com]

Differential diagnosis Anisocoria: Essential anisocoria Adie pupil (long-standing) Argyll-Robertson pupil Chronic anterior uveitis Pupillary sphincter tear Unilateral use [eyewiki.aao.org]

Horner syndrome - Enophthalmos, anhidrosis, ipsilateral miosis and ptosis comprise this neurological syndrome, which is encountered in up to 50% of patients with superior [symptoma.com]

Cerebral Thrombosis

Abstract Cerebral venous thrombosis (CVT) is a severe multifactorial condition with various clinical manifestations that may include headache, papilledema, seizures, focal deficits, coma and death. The mortality rate of untreated CVT is up to 50%, but it drops to 10% when CVT is properly treated. Prevention of CVT is[…] [ncbi.nlm.nih.gov]

Primary Progressive Multiple Sclerosis

We present three patients with a clinical course and cerebrospinal fluid findings consistent with a diagnosis of primary progressive multiple sclerosis (PPMS). Extensive and repeated magnetic resonance imaging (MRI) examinations showed only diffuse abnormality in brain and spinal cord, but no focal lesions. We propose[…] [ncbi.nlm.nih.gov]

Cerebral Hemorrhage

Evidence supports early intensive blood pressure (BP) lowering in acute intracerebral hemorrhage, but uncertainty persists over whether potential benefits and harms vary according to the magnitude of BP reduction. We aimed to determine whether larger systolic BP (SBP) reductions were associated with better[…] [ncbi.nlm.nih.gov]

Bronchogenic Carcinoma

We report a case of localized fibrous mesothelioma (LFM) of the pleura with bronchogenic carcinoma. LFM arose in the visceral pleura of the upper lobe in the left lung, and lung adenocarcinoma was located in the ipsilateral lower lobe. LFM is a rare mesenchymal tumor of the pleura. Concomitant occurrence with[…] [ncbi.nlm.nih.gov]

Graves Disease

Graves disease is an autoimmune thyroid disorder characterized by hyperthyroidism, ophthalmopathy and goitre. The autoimmune process in Graves disease is influenced by a combination of environmental and genetic factors. The signs and symptoms of Graves' disease include insomnia, tremor, hyperactivity, hyperhidrosis,[…] [symptoma.com]

Subdural Hematoma

Subdural hematoma Other names Subdural haematoma, subdural haemorrhage Subdural hematoma as marked by the arrow with significant midline shift Specialty Neurosurgery A subdural hematoma (SDH) is a type of bleeding in which a collection of blood—usually associated with a traumatic brain injury—gathers between the[…] [en.wikipedia.org]

Subarachnoid Hemorrhage

Subarachnoid hemorrhage (SAH) is a life-threatening condition that refers to bleeding into the subarachnoid space. Most cases are attributed to a ruptured aneurysm. Additionally, there are risk factors such as hypertension, atherosclerosis, smoking, and other conditions as well. Up to 50% of patients with SAH[…] [symptoma.com]

Ethmoid Sinusitis

Abstract We present here the first case in the People's Republic of China of human disease caused by the fungus Arthrographis kalrae. The male patient had fungal panophthalmitis and invasive sinusitis involving the maxillary and ethmoid sinuses. He was an apparently healthy man before receiving trauma to his left[…] [ncbi.nlm.nih.gov]

Syringomyelia

Syringomyelia is a generic term referring to a disorder in which a cyst or cavity forms within the spinal cord. This cyst, called a syrinx, can expand and elongate over time, destroying the spinal cord. The damage may result in loss of feeling, paralysis, weakness, and stiffness in the back, shoulders, and extremities.[…] [en.wikipedia.org]

Astrocytoma of the Brain

Astrocytomas are the most common type of primary brain tumour within the group of brain tumours called gliomas. Primary means they have originated from the brain instead of spreading from elsewhere. About one third of all brain tumours diagnosed in the UK are astrocytomas. They grow from a type of cell in the[…] [thebraintumourcharity.org]

Brain Neoplasm

Stereotactic radiosurgery (SRS) using the Gamma Knife (GK) is now being increasingly utilized for the treatment of brain metastases. However, there are a few reported cases of SRS-induced brain neoplasms. We herein report the case of a Japanese woman with metastatic non-small cell lung cancer (NSCLC) harboring[…] [ncbi.nlm.nih.gov]

Orbital Neoplasm

Orbit. 2016;35(2):113-6. doi: 10.3109/01676830.2016.1139137. Epub 2016 Feb 29. Author information 1 a Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, India. 2 b Department of Ocular Pathology, Sankara Nethralaya, Medical Research Foundation, Chennai, India.[…] [ncbi.nlm.nih.gov]

Multiple Sclerosis

Multiple sclerosis (MS) is the most common chronic disabling disease of the central nervous system (CNS) in young adults. It is characterized by the presence of multiple demyelinating inflammatory lesions disseminated in the CNS. Pseudotumoral lesions (PL) are rarely observed in patients with MS. These atypical lesions[…] [ncbi.nlm.nih.gov]

Congenital Upper Palpebral Retraction

Ptosis • U/L or B/L • Complete /incomplete • Total unilateral ptosis – complete third nerve palsy. • Mild to moderate unilateral ptosis – Horner's syndrome, – partial third [slideshare.net]

The etiology of the unilateral isolated congenital ptosis in our patient is unknown. [frontiersin.org]

= difference in palpebral apertures in unilateral ptosis or Difference from normal in bilateral ptosis 49. [slideshare.net]

Blepharoptosis

There were 51 (77.3%) patients with unilateral ptosis and 15 (22.7%) patients with bilateral ptosis. [ncbi.nlm.nih.gov]

ptosis. [ncbi.nlm.nih.gov]

The first patient presented a unilateral ptosis. The ptosis in the second patient was bilateral and manifest. The eyelids could only be opened manually. [ncbi.nlm.nih.gov]

Prolapse

Beard’s Ptosis. 4th ed. Birmingham, AL : Aesculapius ; 1990. 12.. Unilateral frontalis sling for the surgical correction of unilateral poor-function ptosis. [academic.oup.com]

Surgical treatment of unilateral severe simple congenital ptosis. [e-tjo.org]

Patients who underwent unilateral ptosis surgery had a 5.1% rate of Hering's phenomenon requiring ptosis repair in the contralateral eyelid. [ncbi.nlm.nih.gov]