A drooping eyelid may sag slightly or it may cover the center of your child’s eye and block vision. One or both eyelids may droop. Drooping of the upper eyelid is also called ptosis.
Children may be born with poorly developed muscles that lift the eyelid. This may affect your child’s vision, and may even cause loss of vision. Your child’s eyelid may press on his eye and change the shape of the cornea, which is the clear outer layer on the front of your eye. An unevenly shaped cornea can cause blurred or distorted vision.
The muscles that lift the eyelid can be loosened or stretched as a result of eye surgeries or injuries around your eye.
Drooping eyelids may also be caused by a nerve problem, a stroke, or a tumor. If your child’s eyelid suddenly becomes droopy, go to the emergency room or see an eye care provider immediately.
The drooping eyelid is the main symptom of ptosis. Other symptoms your child may have include:
Your eye care provider will ask about your child’s symptoms and medical history, examine your child, and do a visual field test, which uses spots of light to measure your child’s central vision and how well your child sees things on all sides.
Your provider may ask your child to look up and down to see if your child’s eyelid moves properly when your child moves his eye.
If drooping eyelids are not causing any vision problems, often nothing has to be done. If there are problems with vision or appearance, surgery can be done to tighten the muscles that lift the eyelid or raise the eyebrow. As they get older, children may need more than one surgery to fix ptosis.
If your child’s vision is developing unevenly, your provider may recommend using glasses, a patch, or special eye drops in the stronger eye to help the weaker eye develop.
Follow the full course of treatment your healthcare provider prescribes. Ask your healthcare provider:
Make sure you know when your child should come back for a checkup. Keep all appointments for provider visits or tests.