What is
acquired ptosis?
This condition, also known as low-lying eyelids and acquired blepharoptosis, can be caused by aging, trauma, muscle weakness or stretching, or nerve damage. Understanding its causes, symptoms, evaluation, and treatment options is crucial for managing it effectively.
Ptosis can sometimes be caused by more serious conditions, including stroke, brain aneurysm, Horner syndrome, myasthenia gravis, and eye infections. If you suspect your patient is experiencing any of these more serious conditions, they should be instructed to seek additional medical evaluation.
How prevalent is acquired ptosis?
In an online survey of 2,272 female aesthetics patients* between the ages of 20–70 years old
Forms of acquired ptosis
Patients can experience mild, moderate and severe forms of acquired ptosis. Unlike congenital ptosis, which is present from birth, acquired ptosis develops later in life due to factors such as:
- Age-related weakening/stretching of the levator muscle, which lifts the eyelid.
- Trauma to the eye or eyelid.
- Nerve damage.
- Complications from eye surgery.
- Long-term contact lens wear (particularly rigid contact lenses).
- Side effects from wrinkle reduction injections.
DEGREES OF ACQUIRED PTOSIS
Normal
Mild
Moderate
Severe
Common symptoms of acquired ptosis
Patients may report symptoms related to drooping eyelids, such as always looking tired (even when well-rested). The severity of your patient’s symptoms can vary but may include:
One eyelid drooping lower than the other
Difficulty keeping your eye open
Eye strain or fatigue
A feeling of heaviness in the eyelid
In severe cases, your patient’s vision may be obstructed, making activities like reading or driving challenging. This condition can also affect their appearance, creating an asymmetrical or tired look, and complicate makeup application or contact lens wear.
