Ptosis manifests as a severe drooping of the eyelid. However, any drooping of the eyelid is considered Ptosis. Additionally, it is basically a symptom of four possibly severe underlying medical conditions. They are musculotendinous disorder of the levator, third cranial nerve palsy, Horner’s syndrome and myasthenia gravis. These diseases range in severity and causes. However, some are not simply intrinsic disease, but manifestations of problems caused by injury.
Musculotendinous disorder of the levator is caused by lesions in the levator muscle or its tendon as it attaches at the tarsal plate. Sometimes this disease is caused by natural internal factors like congenital muscle dysplasia, but other causes include stretching caused by untreated congenital muscle dysplasia or age, trauma or inflammation. However, degenerative stretching caused by age is the most common problem.
Third cranial nerve palsy is caused when any part of the cranial nerve is damaged. This causes the nerve to not transmit signals sufficiently to levator palpebral superioris muscle. This causes the drooping of the eyelid associated with Ptosis. When the palsy is caused by an expanding aneurysm, nerve compression causes the problem. This is a very serious problem because if the vessel ruptures death or severe disability is possible. When the drooping eyelid is accompanied by none reactive pupils and ocular misalignment among other eye problems, palsy is almost certain.
Horner’s syndrome is another cause for drooping eyelid. It is caused when the sympathetic pathway is compromised. This results in an inefficient transmission to a muscle connected to the upper tarsal plate. This muscle is unable to sufficiently assist other muscles in lifting the eyelid. Because it is only one piece of the eyelid lifting structure, the symptoms can be quite demure. The combination of anisocoria with drooping eyelid is a definite signal that it is being caused by Horner’s syndrome. Because the sympathetic pathway runs the length of the entire body, diagnosing the location of the lesion is difficult.
Myasthenia gravis is an autoimmune deficiency that can cause the drooping eyelid. It affects the neuromuscular junction because the body creates antibodies to attack itself. These antibodies normally attack the third cranial nerve. Because of this, the drooping eyelids often occurs after sufficient periods of sleep. It may also tend to become more apparent later in the night or as the patient tires.
When drooping eyelid occurs suddenly, an ocular specialist or ophthalmologist is required to diagnose whether or not the drooping is caused by third cranial nerve palsy. You can research in your local area if you believe that you have Ptosis or if you live in Fort Myers Florida you can find an ophthalmologist form the link. This is the most dangerous cause for eyelid drooping must be diagnosed quickly. When the drooping eyelid is a chronic problem, emergency care is not often needed to correct the problem. However, drooping eyelids is indicative of health problems that must be treated in a timely manner.