Eyelid drooping is excess sagging of the upper eylid. The edge of the upper eyelid may be lower than it should be (ptosis) or there may be excess baggy skin in the upper eyelid (dermatochalasis). Eyelid drooping is often a combination of both conditions.
The problem is also called ptosis.
A drooping eyelid is most often due to:
Drooping eyelid can be:
Diseases or illnesses that may lead to eyelid drooping include:
When drooping is on one side only, it is easy to detect by comparing the two eyelids. Drooping is more difficult to detect when it occurs on both sides, or if there is only a slight problem.
A physical exam will be done to determine the cause.
Tests that may be performed include:
If a disease is found, it will be treated. Most cases of drooping eyelids are due to aging and there is no disease involved.
Eyelid lift surgery (blepharoplasty) is done to repair sagging or drooping upper eyelids.
A drooping eyelid can stay constant, worsen over time (be progressive), or come and go (be intermittent).
The expected outcome depends on the cause of the ptosis. Surgery is usually very successful in restoring appearance and function.
Contact your health care provider if:
See an eye specialist (ophthalmologist) for:
Davis CM, Dryden RM. Blepharoplasty. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:vol 5, chap 74.
Savar A, Blaydon SM, Nakra T, Shore JW. Ptosis surgery. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:vol 5, chap 78.
Yanoff M, Cameron D. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 431.
Updated by: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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