General information The upper eyelid is lifted by two different muscles together, thus opening the eye, the musculus levator palpebrae superioris (involuntarily innervated by the nervus oculomotorius) and the musculus tarsalis (involuntarily innervated by the sympathetic nervous system). The latter works noticeably less in cases of fatigue, as the activity of the sympathetic nervous system … Causes of ptosis
Sympathetic ptosis The term sympathetic ptosis is used when the sympathetic nervous system (involuntary/vegetative nervous system) that controls the tarsalis muscle is damaged originally or on its way to the eye. This takes a complicated course, starting from the spinal cord at the level of the thoracic vertebrae, where a direct switch takes place and … Sympathetic ptosis | Causes of ptosis
Therapy In the case of non-reversible ptosis, aging processes or in cases that have existed since birth, surgical correction of the eyelid is usually the main focus. In this treatment, the lower edge of the upper eyelid is raised by removing a piece of the eyelid or eyelid muscles and then suturing. Folding and suturing … Treatment of ptosis
Introduction If there is a pronounced age-related or congenital ptosis, surgery on the affected eyelid is indicated. However, if the ptosis is caused by paralysis or muscle weakness, surgery should usually not be performed. Alternatively, in these cases, bar glasses can be fitted to pull the upper eyelid upwards. The operation is performed under local … Operation of a ptosis
Behavior after the operation Shortly after the surgery and in the following days the patient should avoid physical stress. When washing, the respective eyelid should be left out and generally the area of the operation should be spared. The stitches are removed by the doctor after a few days. As soon as complications occur or … Behavior after the operation | Operation of a ptosis
