What are the causes of drooping eyelids?
Aging
The muscle called the eyelid lift raises the eyelid. With age, the skin and surrounding tissue expand and become weaker, which may cause your eyelid to drop slowly over time. You may not need treatment, but you can have an operation to raise your eyelid if you cannot see well or do not like it. The skin may also hang over the eyelid. This is called sagging skin and it may look like ptosis. Your doctor should tell you about the difference between them.
Eye injury
It may unintentionally hurt or weaken the lid muscles. This may happen if something or something hits your eye, and it may also be caused by using contact lenses for several years or rubbing your eyes a lot. Tell your doctor if the prolapse does not improve spontaneously or if it gets worse over time, and surgery may help the condition.
Eye surgery
Your eye may relax after surgery to treat a cataract or glaucoma, or after correcting eyes with LASIK. Doctors are not sure why this happens. Some people think that the tool that moves your eyelid during the operation may stretch or hurt your eye muscles. This type of ptosis improves spontaneously, so talk to your doctor if it doesn't improve within six months.
What are the causes of drooping eyelids - Causes of sagging eyelids - Why may the eyelids droop - Why may the skin over the eyelid droop - Weakness of the muscle that raises the eyelid
Congenital ptosis
Some babies are born with one or two drooping eyelids; This occurs because the eyelid lift muscle is not formed correctly. In children with ptosis, vision in the upper part of the eyes may be impaired, and they may move their heads back for better vision. Sometimes they develop amblyopia or a "lazy eye"; Therefore, the doctor may suggest an operation to lift the eyelids.
Myasthenia gravis
This occurs when the immune system attacks and mistakenly weakens the signal between your nerves and your muscles, including signals from the muscles controlling the eyelids, face, throat, and jaw. Puffiness may worsen at night or when tired. Medicines and surgery may help your muscles work better.
Horner's syndrome
Damage to some nerve pathways causes your eyelid to drop, so the pupil in the affected eye becomes smaller, and part of the face does not sweat. The cause of the syndrome may be congenital, but damage to these nerves may be the result of benign or cancerous tumors, such as tumors of the brain, head, and lungs. The doctor will check for diseases that may hinder blood flow to the head and neck.
Severe headache
You may experience symptoms of Horner syndrome if you have migraines, a problem with the nerve, or a trigeminal nerve that crosses the face and jaw. Your eyes will likely heal when the headache does, but your eyelids may drop sometimes between attacks. Talk to your doctor about medications or other treatments to manage the causes of your headaches. Your doctor will also rule out other, more serious conditions.
Eyelid tumors
Your doctor might call this mechanical ptosis, just meaning that something is weighing your eyelid down. A lump may grow on your eyelid if you have a congenital disorder called neurofibromatosis, type I-NF1, which is not usually cancerous, but you may need surgery or radiation therapy to cure it. There is no cure for type 1 neurofibromatosis.
Ocular infection
Conjunctivitis, or filament, causes swelling of the eye. Fortunately, your eyelid will return to its normal shape once it heals, and this may take anywhere from one to two weeks or more. It should get better spontaneously. Check with your doctor if your eyes are swollen, swollen, or painful, or if you have pus or heat. You may need antibiotics or surgery to drain the fluid. In the meantime, artificial tears or warm or cold compresses may help.
Interact
The brain cannot get enough oxygen and nutrients if a blood vessel bursts or becomes clogged with a thrombus. This causes a stroke and may cause half of your face to drop, including the eyelids. Seek help within three hours of noticing the first symptoms or problems with speech, vision, or walking. To lower your risk of stroke, exercise, eat well, work with your doctor to control diabetes, blood cholesterol, and blood pressure, and quit smoking if you smoke.
Cerebral hemorrhage
An ischemic aneurysm is a weak part of the blood vessel that may burst, causing a stroke. This may lead to a subarachnoid hemorrhage, that is, bleeding around the brain, which is an emergency condition that may cause fainting or an epileptic seizure. Tell the doctor if you have a headache, severe eye pain, changes in vision, or weakness and numbness in one side of the body. They may be able to treat an aneurysm surgically.
Eye muscle problems
A drooping eyelid may be a sign of muscular oculopharyngeal dystrophy, a muscle disease of the eyes and throat. It is a congenital disease, but symptoms may not appear until the age of forty and over. Both eyelids may drop, you may not be able to see well, and problems with the throat and tongue may make eating difficult. Surgery may help repair ptosis, and you may need additional occupational therapy or surgery if other parts of the body are affected.
diabetic
Over time, a high level of sugar in the blood can damage the vessels and nerves in or around the eyes. You may develop eyelid prolapse in conjunction with double vision, and this may happen with paralysis of the third nerve, which causes diabetes. Symptoms sometimes improve when you control your blood sugar, but your doctor may suggest surgery if diabetes affects your vision and this lasts more than six months.
Botox
The botulinum toxin (Botox) may paralyze muscles, leading to wrinkles. You may not have any problems with the Botox injection, but the toxin may enter the muscles that control your upper eyelid. The diffusion should improve as soon as the toxins are gone, but apraclonidine eye drops may help.
Mitochondrial myopathy
It is a congenital disease that causes difficulty in the functioning of the mitochondria they supply most of the body's cells with energy. The eyes and eyelids may weaken and may cause moderate vision difficulties in adults. Children with mitochondrial problems should often undergo eye exams. Your doctor may prescribe treatment with nutritional supplements such as creatine and carnitine or coenzyme Q10 to support mitochondria. More research is needed to find out how these supplements work.
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