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October Week 1By AdminDr. Ashutosh Jaiswal

Ptosis and Its Management

1. What is Ptosis?

Presbyopia is the age-related loss of near vision that typically starts after age 40. It occurs because the eye lens gradually loses flexibility, making it difficult to focus on close objects. Unlike myopia or hyperopia, presbyopia affects nearly everyone as they age.

2. What causes Ptosis?

  • ● Congenital Ptosis: Weakness in the eyelid muscle (levator palpebrae superioris) present at birth
  • ● Age-related Ptosis: Muscle stretching or weakening over time
  • ● Neurological causes: Nerve damage (e.g., Horner’s syndrome, third cranial nerve palsy)
  • ● Trauma or surgery: Eyelid injury or previous eye surgery
  • ● Medical conditions: Diabetes, myasthenia gravis

3. What are the symptoms?

  • ● Drooping of the upper eyelid
  • ● Difficulty seeing, especially upward gaze
  • ● Eye strain, fatigue, or forehead muscle overuse
  • ● Cosmetic concerns or asymmetry of eyes

4. How is Ptosis diagnosed?

  • ● Comprehensive eye and eyelid examination
  • ● Measurement of eyelid position, levator function, and visual field
  • ● Imaging or neurological tests if underlying nerve or muscle disorder is suspected

5. What are the treatment options?

I) Non-surgical options:

  • ● Ptosis crutches attached to glasses (temporary relief)
  • ● Botulinum toxin injections in specific cases

II) Surgical treatment (definitive solution):

  • ● Levator resection or advancement: Tightens the eyelid muscle
  • ● Frontalis sling surgery: Uses forehead muscle to lift eyelid in severe cases or congenital ptosis
  • ● Surgery is customized based on severity, age, and underlying cause

6. When is surgery recommended?

  • ● Visual obstruction affecting daily activities
  • ● Significant asymmetry or cosmetic concern
  • ● Progressive ptosis or associated neurological conditions

7. Why choose Netram Eye Hospital, Nagpur?

  • ● Dr. Ashutosh Jaiswal, gold-medalist ophthalmologist, experienced in ptosis correction
  • ● Advanced surgical techniques and meticulous evaluation
  • ● Personalized treatment for cosmetic and functional outcomes
  • ● Post-operative care and follow-up to ensure safety and long-term results

Visit the Experts

Netram Eye Hospital, Nagpur

Address:
G6-10, Sai Krupa Apartment, Next to Chaudhari Hospital, Umred Road, Sakkardara, Nagpur – 440024

Phone:
+91 9859 804 804 / +91 9852 804 804

Website:
www.netramhospital.com