Blepharoptosis - children; Congenital ptosis; Eyelid drooping - children; Eyelid drooping - amblyopia; Eyelid drooping - astigmatism
Ptosis (eyelid drooping) in infants and children is when the upper eyelid is lower than it should be. This may occur in one or both eyes. Eyelid drooping that occurs at birth or within the first year is called congenital ptosis.
Ptosis in infants and children is often due to a problem with the muscle that raises the eyelid. A nerve problem in the eyelid can also cause it to droop.
Ptosis may also occur due to other conditions. Some of these include:
Eyelid drooping that occurs later in childhood or adulthood may have other causes.
Children with ptosis may tip their head back to see. They may raise their eyebrows to try to move the eyelid up. You may notice:
EXAMS AND TESTS
The health care provider will do a physical exam to determine the cause.
The provider also may do certain tests:
Other tests may be done to check for diseases or illnesses that may be causing ptosis.
Eyelid lift surgery can repair drooping upper eyelids.
The provider will also treat any eye problems from ptosis. Your child may need to:
Children with mild ptosis should have regular eye exams to make sure amblyopia does not develop.
Surgery often works well to improve the look and function of the eye. Some children need more than one surgery.
Contact your provider if:
Bass N. Hypotonia and neuromuscular disease in the neonate. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 56.
Olitsky SE, Marsh JD. Abnormalities of the lids. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 642.
Pavone P, Cho SY, Praticò AD, Falsaperla R, Ruggieri M, Jin DK. Ptosis in childhood: A clinical sign of several disorders: Case series reports and literature review. Medicine (Baltimore). 2018;97(36):e12124. PMID: 30200099 pubmed.ncbi.nlm.nih.gov/30200099/.BACK TO TOP
Review Date: 3/2/2021
Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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