Long Case of Ptosis
Blepharoptosis refers to the inferodisplacement or drooping of the upper eyelids.The condition can be congenital associated with the presence of a dystrophic levator muscle or acquired due to a myogenic, neurogenic, mechanical, aponeurotic or traumatic cause. We aim to provide certain general guidelines to the management of a patient with ptosis. In assessment of long case of ptosis the clinical examination should start with History as with any other case. History: Obtain a thorough medical and ophthalmic history. The onset of ptosis, Alleviating or aggravating factors, Family history of ptosis Whether increasing, decreasing, or constant since the time of manifestation Association with Jaw movements Abnormal ocular movements Abnormal head posture History of Trauma or previous surgery Poisoning Use of steroid drops Any reaction with anesthesia Bleeding tendency Previous photographs may prove to be of great help. Ocular Examination: Head Posture: A significant head posture (usually chin
Dr. A. K. Grover · Dr. Shaloo Bageja · +1 other