What it is
Ptosis is drooping of the upper eyelid. It may be present from birth (congenital ptosis) or develop later because the eyelid-lifting muscle stretches with age, or after injury, previous eye surgery or long-term contact lens use. Surgery tightens or reattaches the lifting muscle (the levator). In some cases the eyelid is connected to the forehead muscle with a small sling.
Who it's for
Adults whose drooping eyelid blocks their vision or causes strain, and children with ptosis — especially when the eyelid covers the pupil, as this can affect how vision develops and lead to a “lazy eye”. Early assessment is important for children.
What to expect
Adults usually have surgery under local anaesthesia; children need general anaesthesia. It is normally done as day-care, and you go home the same day.
Recovery
Swelling and bruising are common for one to two weeks. Cold compresses and prescribed ointment help. Stitches, if used, are usually removed after about a week, and the eyelid height and shape settle over several weeks. Occasionally a small adjustment is needed.
Frequently asked questions
Is ptosis surgery only cosmetic?
Often not. A drooping lid can block the upper part of your vision, and in children it can affect vision development.
When should a child with ptosis be seen?
As early as possible, so the doctor can check whether the drooping lid is affecting the child's vision.
Medically reviewed by Dr. Sweta Patro