Ptosis of the upper eyelid is a functional problem of the muscle and tendon mechanism that opens the lid. It may be congenital, acquired by aging or acquired by certain diseases. The muscle tissue may weaken or its tendinous attachment to the eyelid border may become defective.
The lowered position of the eyelid border is typical for ptosis, as opposed to visual impairment by an overhanging skin fold.
The treatment is performed through the same surgical exposure as for other upper eyelid operations. Depending on the situation, the muscle, the tendinous tissue or both are shortened or reattached.
Ptosis correction is a complex matter. An additional operation may be required to treat asymmetry between both sides, to further treat over- or undercorrection, or to treat further weakening over time. In most cases, but not all, there is some cover of the expenses by health insurance.