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]

• Mild Facial Weakness

  There is early weakness and atrophy of forearms and quadriceps and a third of patients also have mild facial weakness. Extraocular muscles are not affected and ptosis is rarely seen. [ncbi.nlm.nih.gov]

• Fixed Pupils

  Causes[edit] Neurotoxic ptosis caused by botulinum toxin: a 14-year-old botulism patient with bilateral total ophthalmoplegia with ptosis (left image) and dilated, fixed pupils (right image). [en.wikipedia.org]

• Positive Romberg Sign

  Initial neurological examination revealed left eyelid ptosis, hyporeflexia, positive Romberg sign, and ataxia. The ice pack test was negative. Three days later, contralateral ptosis was observed, associated with areflexia and worsened ataxia. [ncbi.nlm.nih.gov]

• Polyradiculoneuropathy

  Ganglioside antibodies play an important role in the pathogenesis of acute polyradiculoneuropathy including MFS. [ncbi.nlm.nih.gov]

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]

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 is good and patients have a normal lifespan. The documents contained in this web site are presented for information purposes only. [orpha.net]

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]

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 The repair of congenital ptosis can produce excellent functional and cosmetic results. With careful observation and treatment, amblyopia can be treated successfully. [emedicine.medscape.com]

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]

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]

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]

Some forms of congenital ptosis may represent a form of congenital cranial dysinnervation disorder. [3] Epidemiology Frequency United States The frequency of congenital ptosis in the United States has not been officially reported. [emedicine.medscape.com]

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]

Waragai, M, Shinotoh, H, Kaneko, M, Hattori, T 1996 Difficulty in eye opening following left hemispheric infarction—causative lesion and pathophysiology of abnormalities of the eye and eyelids movements. [doi.org]

Bone wax is a hemostatic agent well used by neurosurgeons to prevent bleeding from bone. [ncbi.nlm.nih.gov]

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]

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.ie]