Tag Archives: as a result of horizontal shortening

Blepharoptosis

Ptosis (ptosis) of upper eyelid is widespread pathology. There are one sided and two sided ptosis. More often congenital two sided ptosis happens, one sided is usually acquired.

The acquired ptosis is meets much more often than congenital. Ptosis is sub-divided into various types depending on cause:

1. Neurogenic ptosis. It is met at oculomotor paralysis. It can arise because of tumors, diabetic neuropathy. Sometimes this ptosis is caused in the medical purposes artificially, for example, at corneal ulcers which are not closed up long because of blepharoptosis.

2. Myogenetic ptosis. It arises at muscular weakness, usually in both sides. Loads cause blepharoptosis and doubling in eyes.

3. Aponeurotic ptosis. It develops in elderly people when the tendon of the muscle lifting an upper eyelid departs from osteal plate to which it is attached.

4. Mechanical ptosis. It appears because of horizontal shorting of blepharon at cicatrization or tumor growth.

Blepharoptosis can be partial, incomplete (blepharon reaches middle of pupil), full (blepharon closes pupil).

At ptosis eyes are irritated, it is difficult to close them; they quickly get tired because of large efforts. Often strabismus develops.

Therapeutic treatment is applied at neurogenic ptosis. Physiotherapeutic procedures are carried out: UHF, galvanotherapeutics. Temporary fixing of blepharon with emplastrum is also referred to conservative methods.

More often ptosis is treated surgery. You shouldn’t postpone the operation, especially for children whose growing organism is more subjected to complications. If the blepharon is sedentary, it is sutured to front muscle. Partial excision of muscle lifting the upper eyelid is possible. Shortening of muscle will not allow blepharon to fall.