This usually arises when the main muscle for opening the upper eyelid (Levator Palpebrae Superioris) is damaged, disinserted or stretched. Correction requires surgical repair of the pathology to match the fellow eye. Intra-operative comparison with the ‘normal’ eye is essential to reproduce a cosmetically acceptable solution. Occasionally, this condition can affect both eyes and in this case, it is crucial to rule out any underlying condition which affects the whole person (eg. myasthenia gravis). In this situation, treatment of the disease will result in automatic correction of the drooping eyelids. Hence, a full systemic evaluation is essential and we will coordinate with the appropriate specialist physician.
The appearance of drooping eyelids can also be the result of stretching of the upper eyelid skin and herniation of the orbital fat into the eyelid. If left untreated, this condition can give rise to an apparent decrease in the field of vision which can affect one’s ability to work, drive and operate machinery safely. In this situation, surgery is not considered as a cosmetic but as functional correction.