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Curriculum · ENT, Ophthalmology, and Dermatology

Ptosis: causes and evaluation

What it is

Ptosis is drooping of the upper eyelid due to the levator palpebrae superioris.

Causes and risk

The aponeurotic cause is the most common: disinsertion or dehiscence of the levator aponeurosis, associated with advancing age, trauma, surgery, pregnancy and chronic lid swelling. The other causes are incomplete opening of the eyelid due to a mass or scarring; myasthenia gravis, a neuromuscular palsy, and myotonic dystrophy; CN III palsy; Horner's syndrome; and congenital ptosis.