Presentation
Abstract A case of an 87-year-old woman with a history of Graves disease presenting with a 5-year history of severe ptosis and very poor levator function of the left side is presented. [ncbi.nlm.nih.gov]
If anisocoria is present, pupillary size should be measured in both light and dark conditions. [reviewofophthalmology.com]
Workup
However, the majority of new onset HS needs the following radiologic workup: Chest imaging: Plain X-ray or chest CT, with special attention to the lung apices. [reviewofophthalmology.com]
He was started on prednisone for possible giant cell arteritis and subsequently admitted for systemic workup. The acetylcholine receptor antibody test returned negative. [healio.com]
The majority of patients with ptosis first present in primary care clinics, and it is important to refer these patients to a neurologist and/or ophthalmologist for further workup. [ncbi.nlm.nih.gov]
A patient with a strong family history of congenital ptosis may not need an extensive workup. [eyewiki.org]
Treatment
[…] need medical treatment. [nhs.uk]
Vaginal prolapse can happen again after treatment. However, most treatment plans are very successful. If you have multiple prolapses or a severe prolapse, your healthcare provider may talk to you about surgical treatment options. [my.clevelandclinic.org]
If the ptosis does not reduce vision and the patient does not mind the appearance, the doctor might recommend no treatment at all. However, If the ptosis causes a problem with vision, appearance, or both, treatment may be indicated. [ceenta.com]
We describe the first 2 cases of ptosis because of long-term treatment with topical steroid eye drops. Two cases admitted to our hospital because of ptosis of their right eye after long-term treatment with topical steroid eye drops. [ncbi.nlm.nih.gov]
Prognosis
Prognosis Prognosis is good and patients have a normal lifespan. The documents contained in this web site are presented for information purposes only. [orpha.net]
Prognosis Prognosis depends upon the type and treatment of ptosis. The appropriate surgical procedure applied according to the preoperative evaluation shows very good prognosis. [ncbi.nlm.nih.gov]
Prognosis After diagnosing the cause of a drooping eyelid, then correcting the condition, most people have no further problems related to the ptosis. The correction, however, may still not make the eyes symmetrical. [encyclopedia.com]
Etiology
A retrospective chart review was conducted of all patients undergoing posterior-approach and anterior-approach ptosis surgery for all etiologies of ptosis between 2011 and 2014. [ncbi.nlm.nih.gov]
Purpose: To evaluate the frequency of etiology of ptosis in a ophthalmic center. and the prevalence in the pediatric, and adult group Methods: A retrospective review of all patients, seen in an ophthalmology center that present ptosis between 2006 to [iovs.arvojournals.org]
The concerning etiology in these cases is an aneurysm or tumor compressing the nerve, and should be emergently referred for evaluation. [morancore.utah.edu]
In patients over 55 years, the etiology is most likely microvascular and occurs in vasculopaths (hypertensives, diabetics). [reviewofophthalmology.com]
Epidemiology
Summary Epidemiology BPES is a rare condition; the worldwide birth prevalence of BPES is unknown and can be estimated to be less than 1/50,000. [orpha.net]
Keywords: clinical (human) or epidemiologic studies: outcomes/complications • eyelid • retina © 2006, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. [iovs.arvojournals.org]
Pelvic organ prolapse in females: Epidemiology, risk factors, clinical manifestations, and management. https://www.uptodate.com/contents/search. Accessed May 31, 2022. AskMayoExpert. Pelvic organ prolapse (adult). Mayo Clinic; 2022. [mayoclinic.org]
We provide invaluable learning opportunities for attending medical students and research opportunities in biomedical, clinical and epidemiological research across all disciplines. [sydney.edu.au]
Epidemiology Among all cases of ptosis, congenital ptosis is the most common type which seems to be more prevalent in males. [ncbi.nlm.nih.gov]
Pathophysiology
Identification of the underlying pathophysiologic mechanism is paramount to institute proper treatment. Pathophysiology Ptosis is the result of dysfunctioning of one or both upper eyelid elevator muscles. [emedicine.com]
Pathophysiology Levator palpebrae superioris (LPS) and Muller's muscle are two muscles of upper eyelid responsible for its elevation. LPS is the main elevator which is supplied by the oculomotor nerve. [ncbi.nlm.nih.gov]
Prevention
How can it be prevented? Ptosis cannot be prevented, but it can be easily detected in its early stages. It is also possible to act before the visual field becomes affected and before the unsightly effect worsens. [imo.es]
Bone wax is a hemostatic agent well used by neurosurgeons to prevent bleeding from bone. [ncbi.nlm.nih.gov]
How can I prevent ptosis? You can’t really prevent ptosis but you might be able to stop droopy eyelids getting any worse if you get them treated early. One way to do this is to ensure you have an eye test every two years. [specsavers.co.uk]