Ptosis is a condition in which the upper eyelid(s) droops. The eyelid may droop only slightly or it may droop enough to partially or completely cover the pupil, restricting or obscuring the field of vision. Ptosis should not be confused with extra skin, fat or muscle in the eyelid area. Those issues are typically addressed with cosmetic blepharoplasty surgery. When ptosis can be shown to reduce peripheral vision, its surgical correction may be covered by insurance. If the degree of ptosis is not severe, it may be considered elective surgery and can be corrected as a cosmetic procedure.
The most common type of ptosis is adult onset, caused by a weakening or dehiscence of the attachment between the levator muscle (the muscle that raises the upper lid) and the tarsus near the eyelid margin. This typically occurs as a result of the aging process, after cataract surgery, following contact lens wear, or from an injury. In certain cases of sudden onset of ptosis, there may be other causes that should be evaluated by an oculoplastic specialist.
Ptosis surgery is an outpatient procedure that involves tightening the levator muscle that lifts the lid. The surgical approach taken depends on specific findings and testing performed during the consultation with one of our oculoplastic surgeons. Your surgeon will discuss your treatment options fully and will perform all the proper testing to determine whether your ptosis may be deemed medically necessary by your insurance carrier.