The omission of the eyelid (ptosis) is the disease is omission upper century. As a result, a person who suffers from this disease is partially or completely losing sight. In addition, PTOS is considered not only a cosmetic defect, as well as a serious ophthalmic disease, which can be two types: one-sided ptosis and bilateral. It is also worth noting that the omission of the century can be both acquired by the disease and congenital, and in the latter case it is usually accompanied by the patient with the strabismia or amablopia (a lazy eye disease). The main symptoms of this disease is that the patient cannot fully open or close the eye, which leads to the irritability of the fabrics. Therefore, in most cases, people suffering from ptosis, or throw the head back to increase the field of view, or move away upper eyelid Hands. The latter is pretty dangerous, since the risk of infection is great.

Diseases in symptoms

Any symptom is a signal of the body that any organ, department or a whole system is broken. To find out why the annoyance of the eyelid occurs in the newborn, you need to exclude some diseases. Pass timely diagnosisSpecify why PTOS appeared and how to quickly and effectively improve the state.

The list of diseases in which the newborn occurs the omission of the eyelids:

• Genetic disease with autosomal dominant inheritance type;
• Hemangioma (tumor of blood vessels);
• Gorner syndrome (sympathetic innervation pathology);
• Impairment of neuromuscular transmission of the upper eyelid;
• Neurofibrome (nerve shell tumor in the upper eyelid);
• Autoimmune neuromuscular disease (myasthenia);
• Marcus-Guna syndrome or Palpberbromandibular syndrome;
• Blephairomyosis;
• Injuries or congenital defects.

The newborn will immediately be noticeable this symptom. It happens a few degrees of development. The first (eyelid is omitted, but does not cover the pupil) the degree is the most harmless and can be removed only by a small adjustment of the newborn century. In the third (eyeline completely closes the pupil) will require more operational surgical intervention.

Treatment and specialists

Only a qualified specialist should be engaged in the treatment of PLOSES in newborns. Only a doctor can tell you than to treat Ptosis in a newborn, how to get rid of PTOs and prevent the appearance of a disease from a child in the future.

On the question of what to do, if your baby has signs of an annoyance of the eyelids, the following doctors can answer:

• Surgeon;
• Ophthalmologist.

With the first inspection of the newborn, an experienced specialist should immediately see this deviation at the kid. It may be caused by a number of reasons, for example, a trauma, which he could get with the "output" to the light, or it can have a congenital effect. However, in fact, and in another case it is all fixable. Just need more time for the treatment of this ailment, rather than on the other diseases.

Arm yourself with knowledge and read a useful informative article about the illness omission of the age of newborn children. After all, being parents means to study everything that will help keep a degree of health in the family at the mark "36.6".

Find out what might cause an occasion of the omission of the age in newborn children, how to recognize it in a timely manner. Find information about what features for which you can define ailment. And what tests will help identify the disease and put the correct diagnosis.

In the article, you will read everything about the methods of treating such a disease as the omission of the age of newborn children. Check how effective first aid should be. How to treat: choose medicines or folk methods?

You will also learn how it can be a dangerous late treatment of the illness of the annoyance of the age of newborn children, and why it is so important to avoid consequences. All about how to prevent the omission of the age of newborn children and prevent complications. Be healthy!

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Ptosis (the omission of the century) is a congenital or acquired defect due to injury. This is a frivolous disease, because there is no danger to health. The main causes of the acquired defect are damage to the nerves, the weak muscles of the face and eye injury. Treatment is aimed at correcting aesthetic defect and can be carried out at home.

You can eliminate ptosis with various eye masks, compresses, but at the same time there will be gymnastics to strengthen the muscular facial corset. If the treatment is not effective, you need to diagnose the presence of infections and eliminate parires. In this case, the treatment is carried out stationary under constant observation of an ophthalmologist.

Treatment of PTOs Maskami

Tip! If the ptosis of the upper eyelid is accompanied by inflammation, you need to use antimicrobial preparations in parallel with masks and compresses.

Medical gymnastics with ptosis

When the ptosis of the upper century is congenital, it is necessary to deal with the elimination of this defect since the birth of the child, by mogymnastics. Standard treatment with gymnastics takes a long time, but it avoids surgical treatment. It is worth remembering that the ptosis of the upper eyelid is the cause of weak muscles, and, eliminating this factor, you can forever lose the problems. Exercises for face muscles with ptosis:

All the presented gogimmatic exercises will allow pulling the muscles of the face. In addition, the exercises will improve blood circulation, which will have a positive effect on treatment.

Tip! Exercises are not conducted if in the region of the upper eyelid there are infections, glasses and other inflammatory processes. This can lead to the spread of pathological organisms in the eye.

Massage with ptosis of the century

Acquired or congenital defect requires almost the same treatment. At the same time, gymnastics and massages will be the most effective, as there is a direct impact on the muscular layer.

Treatment with massage will be effective for both children and older age. The procedure can not be carried out not only a massage therapist, it can be done for everyone, the main thing to comply with the basic principles. This is a regularity, duration and localization of manual impact.

It is deciphering this way: massage is carried out daily, the procedure lasts at least 10 minutes, movement focused around both eyes. Massage Stages to eliminate PLOSE:

1. Preparation - you need to thoroughly wash your hands with soap, check the skin around the eyes for the presence of injections, irritation, redness or ulcers. If this is not detected, you need to wash and wipe your eyes. After that, the moisturizing cream takes and applies a small layer on the eyebrow and a little in the eyelid.
2. The beginning of the massage is stroking, stable fingers to spend around the eyes. Fingers do not touch the century itself, pass through eyebrows. It is necessary to make 5 circles, then peer a little.
3. The main part is rubbing, the index fingers are attached at the site of eyebrows, and with symmetrical movements on the eyebrows. Moves are performed only in one direction, the fingers are set back. Repeat up to 15 times.
4. After rubbing, it is necessary to complete the procedure again stroking.

Tip! Massage can be used to better penetrate the medication. Therefore, instead of a moisturizing cream, you can apply ointment and cooked houses of the mixture.

Treatment of complications of PTOs

It happens that the ptosis of the upper century is accompanied by edema, tearing or other unpleasant symptoms. They can be eliminated at home, and the most effective means for this - ice.

Ice cubes need to wipe the skin of the century and around it. You can freeze not just water, it is better to prepare grasses on the basis of herbs, after which the ice cubes are made of them. Thus, wrapping ice narrows vessels, relieves swelling.

But irrigating ice should not be carried out before the massage or after it, since these two procedures exclude each other's effectiveness. Plotosis complications are a frequent result of stressful effects on the body. It is better to exclude the influence of external stimuli, provoking nervous overvoltage.

Stress provokes reinforced blood circulation, eyelid begins to eat well and increases swelling. If there is no way to apply ice, you need to relax as much as possible, normalize your breath. But, in no case, do not cry, otherwise the tumor of the century is no longer removed.

Ptosis can be eliminated at home, and as practice shows, the treatment not only removes the defect, but also pulls the skin. All because the mogymnastics and massage strengthen the muscles, and it slows down the formation of wrinkles around the eyes and improves skin color.

Ptosis of the century is the pathology of the upper eyelid, at which it is omitted down and partially or completely overlaps the eye slit. Another name of the anomalies is blepharoptosis.

Normally, there should be a rainbow shell of the eye by no more than 1.5 mm. If this value is exceeded, they talk about the pathological omission of the upper eyelid.

Ptosis is not only a cosmetic defect, significantly distorting appearance man. It prevents normal functioning visual analyzerSince it hinders the refraction.

Classification and causes of ptosis of the century

Depending on the moment of the appearance of Ptoz is divided into:

• Acquired
• Congenital.

Depending on the degree of end of the century, it happens:

• Partial: overlaps no more than 1/3 pupil
• Incomplete: overlaps to 1/2 pupil
• Full: The eyelo completely overlaps the pupil.

The acquired variation of the disease, depending on the etiology (the causes of the appearance of PTOs of the Upper Century) divide into several species:

As for the cases of congenital ptosis, it may arise in view of two reasons:

• Anomaly for muscle development, raising the upper eyelid. It can be combined with strabismus or amblyopy (lazy eye syndrome).
• The defeat of the nerve centers of the glasses or facial nerve.

Symptoms of Ptosa

Basic clinical manifestation Diseases - the omission of the Upper CenturyWhat leads to a partial or complete closure of the eye slit. At the same time, people try to strain the frontal muscle as much as possible so that the eyebrows raise and the eyelo reached up.

Some patients for this purpose thrust our heads and take a specific posture, which is referred to as a pose of star.

The lowered eyelid prevents the commission of blinking movements, and this leads to the appearance of pain and overwork the eyes. The decrease in the frequency of the blink causes damage to the lacrimal film and the development of dry eye syndrome. I can also occur infection of the eye and the development of inflammatory disease.

Features of the disease in children

In infancy, ptosis is difficult to diagnose. In many ways, this is due to the fact that most of the time the child sleeps and is with closed eyes. It is necessary to carefully follow the facial expression. Sometimes the disease can manifest itself with frequent blinking of the affected eye during feeding.

At an older age, PTOS in children can be suspected of the following signs:

• During reading or writing, the child tries to throw off his head. This is due to the limitation of the fields when the upper century is omitted.
• Uncontrolled muscle contraction on the side of the defeat. Sometimes it is mistaken for nervous tick.
• Complaints on rapid fatigue after visual work.

Cases of congenital ptosis may be accompanied by Epicatus (hanging over the age of the folds of the skin), squint, damage to the horny shell and paralysis of the glasses. If the ptosis in the child is not eliminated, it will lead to the development of amblyopia and reducing vision.

Diagnostics

There is enough ordinary inspection to diagnose the disease. To determine its degree, it is necessary to calculate the MRD indicator - the distance between the center of the pupil and the edge of the upper eyelid. If the eyelid crosses the middle of the pupil, the MRD is 0, if above - then from +1 to +5, if below - from -1 to -5.

An integrated examination includes the following studies:

• Determination of visual acuity;
• Definition of field fields;
• Ophthalmoscopy with the study of the eye dna;
• Inspection of the cornea;
• Study of tear fluid products;
• Eye biomicroscopy with a tear film assessment.

It is very important that during the definition of the degree of the disease the patient was relaxed and did not frown eyebrows. Otherwise, the result will be unreliable.

Children will be examined especially carefully, as Ptosis is often combined with an eyebound eye. Be sure to check the visual acuity on the Tables of Orlova.

Treatment of PTOs

Elimination of ptosis of the upper century can only be after determining the root causes

Treatment of top-century ptosis is possible only after determining the root causes. If he has a neurogenic or traumatic nature, its treatment necessarily includes physiotherapy: UHF, electroplating, electrophoresis, paraffinotherapy.

Operation

As for the cases of congenital ptosis of the upper eyelid, it is necessary to resort to surgical intervention. It is aimed at shortening the muscles raising the eyelid.

The main stages of the operation:

The operation is shown in the event that the upper eyelid still remains lowered after the treatment of the underlying disease.

After intervention on the eye, the aseptic (sterile) bandage is applied and assigned antibacterial drugs wide spectrum actions. This is necessary to prevent infection of the wound.

Medicine

The omission of the upper century can be cured by the conservative method. To restore the functionality of the eye muscles, the following methods of therapy are used:

If the upper eyelid fell after the injection of Botolooksin, then it is necessary to bury the eyes with drops with alphagan, ipratropium, lopidine, phenylefrin. Such drugs contribute to the reduction of eye muscles and, as a result, the eyelid rises.

You can speed up the lifting of the century after Botox with the help of medical masks, creams for the skin around the eyelids. Also, professionals are recommended daily massaging eyelids and visit the steam sauna.

Exercises

A special gymnastic complex contributes to strengthening and tightening the ice muscles. This is especially true of the involutionary ptosis, which arose as a result of natural aging.

Gymnastics for the eyes with a ptosis of the upper eyelid:

Only with the regular execution of the exercise complex with the top of the upper century, you will notice the effect.

Folk remedies

Treatment of ptosis of the upper eyelid, especially at the initial stage, possibly at home. Folk remedies are safe, and the side effects are practically absent.

Folk recipes for the fight against the ptosis of the upper eyelid:

With regular use, folk remedies not only strengthen muscle tissue, but also smoothed small wrinkles.

Stunning results can be achieved with comprehensive application Masks and massage. Massage technique:

1. Treat hands with an antibacterial agent;
2. Remove cosmetics from the skin around the eyes;
3. Treat the eyelids with massage oil;
4. Perform light stroking movements in the upper eyelid in the direction from the inner corner of the eye to the outer. When processing the lower eyelid, move in the opposite direction;
5. After heating slightly tapping the skin around the eyes for 60 seconds;
6. Then continuously pressed on the skin of the upper eyelid. Do not hide the eyeballs at the same time;
7. Cover your eyes with cottage discs impregnated with a chamomile infusion.

Photo ptosis of the upper eyelid

Reviews for the removal of PTOKO top century

If you have transferred a PLOSE removal operation, be sure to leave your review in the comments of this article., that you will help a large number of readers.

Ptosis of the Upper Century

If you look in the face of a person right, then you can see that the upper eyelid of the right eye is asmetry with respect to the left. When people have skin at least 0, 2 centimeters, then, regardless of age, they look soil and sad.

• Ptosis of the Upper Century
• What is ptosis of the century
• Why is the omission of century
• Congenital
• Acquired
• Diagnosis and treatment
• Surgical correction of pectoose top eyelids
• Exercises for the Ptosis of the Upper Century
• Treatment of PTOs without surgery
• Video: Causes and elimination of ptosis of the upper eyelid
• Reviews
• Ptosis of the Upper Century: Causes
• What it is
• The reasons
• Symptoms
• Diagnostics
• Treatment
• Complications
• Prevention
• Video
• conclusions
• Ptosis of the Upper Century: Treatment at home
• Ottop of the Upper Century (Ptoz)
• The main reasons for PTOsa
• Symptoms and stage of the disease
• Other symptoms:
• Upper eyelid
• Methods of diagnosis of PTOs
• Medical therapy
• Surgical therapy
• Treatment at home
• Special gymnastics
• What is blufaroptosis, why he arises and how to eliminate it
• Symptoms and causes of top-century ptosis
• Classification of PTOs
• Congenital pathology
• Acquired ptosis
• Treatment of ptosis of the upper eyelid
• Treatment of ptosis of the upper eyelid after Botox, Distports, Kesomin
• Dispositive therapy
• Operation at the ptosis of the upper eyelid

Increased fatigue arises due to the fact that a person makes a lot of strength to just blink.

What is ptosis of the century

An abnormally low location of the centuries is called Ptoz. The disease can be congenital or acquired and differs in the duration of the flow or age of the patient. Ptosis is full or incomplete, one-sided or bilateral. According to the degree of severity, pathology qualify when the edge of the upper century:

• overlaps a third of the pupil - this is 1 degree;
• closes 2/3 pupil - 2 degree;
• fully closes the whole pupil - 3 degree.

Patients complain about fast eye fatigue poor eyesight. They are very difficult to blink, so they are forced to constantly strain the muscles of eyebrows and forehead. The eye is completely not closed, as a result of which the mucous membrane irritates. If the ptosis is launched, then the patient develops amblyopia (violation of vision), bias in the eyes or squint. Children often tilt their heads back to raise the top eyelid.

Why is the omission of century

The disease develops due to the defeat of any nerve. With the full functioning of all the muscles of the eye, the nerve impulse starts from the central nervous system, it goes through the glazation channel to the eye muscle. If he is interrupted at some stage, then the eyelid goes away. Pseudoptosis (false) arises for another reason. In this case, the eye gap is narrowed due to nervous Tika or hysteria.

Congenital

If weakly developed or there is no eye muscle for a hereditary reason, then this is a congenital ptosis of the upper eyelid. Sometimes the baby is born with such a defect after a neurological disorder, in which the lateral kernels of the ocular nerve are underdeveloped. A child and genetic disease in a child can play. If congenital pathology is not treated on time, then in the future it will lead to the development of anisometropy, when the difference in the vision of two eyes is up to 3 diopters or other eye diseases.

Acquired

The causes of the acquired idle of the century are many. The disease can be a consequence of injury or inflammation of eye nerves, under which their paralysis (partial or complete) occurs. Ptosis of the upper century may develop after Botox, when the ligaments are weakened. Although the eye muscles remain connected with the bones, they stretch, the skin saves. Sometimes the disease is acquired with age in the process of developing chronic diseases of the kidneys, heart, diabetes, Gorner syndrome.

Diagnosis and treatment

All the symptoms listed above are visible to the naked eye. Ophthalmologists can only learn the causes of pathology, to diagnose and appoint adequate treatment. When examining, the doctor takes into account the difference during the disease, which is damaged different areas visual analyzer. If the pathology is congenital, then non-functional muscles of the eyelids.

With the acquired variant, muscle aponeurosis is characteristic of raising. An important point in the diagnosis is to clarify the patient if such pathology happened to the parents. The treatment method depends on the response, because for the acquired option, completely different therapy is envisaged, since the disease is caused by an elastic and elastic muscle, in contrast to the congenital disease.

Treatment of the stretched century began to start immediately in order to avoid complications, because the disease does not pass independently. To date, a surgical operation is considered to be successfully eliminating the problem, which is shown from 3 years. If the child has not reached the age of mentioned, then in order to prevent the upper eyelid, the baby pulls up with a patch.

Surgical correction of pectoose top eyelids

The ophthalmologist conducts surgical correction of the century, applying local anesthesia. General anesthesia give children. The operation lasts an average of 1.5 hours. If the cause of the disease is some chronic pathology, then the operational intervention is prescribed only after it is eliminated. How the operation is carried out:

• in the upper eyelids, a small strip of skin is removed;
• the french partition is cut;
• the incision is divided by aponeurosis, which is responsible for raising the ages;
• the stretched part of the aponeurosis is excised;
• the rest is taken to the lower verge of century;
• continuous cosmetic seam is superimposed;
• the sterile bandage is superimposed.

Exercises for the Ptosis of the Upper Century

At home, you can try to remove congenital or acquired PTOS with medical gymnastics. It takes a long time treatment, but if you do it regularly, that is, the option to avoid surgical intervention. Exercises for facial muscles (every to repeat from 6 to 10 times):

1. Workout. Open widespread eyes, inspect everything around with circular movements, then drop sharply.
2. Madely open your eyes. Keep, not blinking, look 10 seconds, then close tightly, strongly straining muscles. Street another 10 seconds, then relax.
3. Put the index fingers on your eyebrows and pressed. Try to bring eyebrows until the muscles get sick.
4. Massaging eyebrows over the ptosis index finger. Start with strokes, gradually increasing the force of pressure and pace.

Treatment of PTOs without surgery

Conduct treatment of the disease and therapeutic methods. If the ptosis of the age of 1 degree, then a positive result can give local treatment. In the event that the pathological process is caused by aging, pull-up creams, physiotherapeutic procedures: paraffin therapy, UHF, galvanization can be applied. In the absence of the patient's effect, even on early stage Admission to centuries can be sent to operation.

Video: Causes and elimination of ptosis of the upper eyelid

Gennady, 27 years old

In my youth damaged the eye so that the edge of the upper eyelid was more from the boundary of the iris than 1.5 mm. As a result, he felt constant irritation of the mucous membrane. Doctors said that this is the acquired disease, and sent it at the price of a surgical removal of excess skin over the eye. After 7 years, I have already forgotten that this problem bothered me.

The eyelid fell half a year ago after dysport injection. First, the entire area of \u200b\u200bthe forehead drove, there were swelling, but then I got used to, went fine. When the effect of the drug ended, one eye was covered by 2/3. Doctors said that the muscles were atrophy, sent to the beautician, but the procedures did not help me, despite even their highest cost.

Eugene, 43 years

Earned the ptosis of the upper eyelid after the operation in the eyes. Conservative treatment helped: UHF, special gymnastics for facial muscles, massage in the cabin. Restoration of workability eye nerve It happened for 6 months, only my perseverance helped - did not miss any appointed procedure for six months.

A source:

Ptosis of the Upper Century: Causes

The asymmetry of the upper eyelid is one of the eyes in relation to the other - this is a reason to alert. A similar symptom may indicate such a disease as ptosis. In this disease, a person not only looks older than there is actually, but also tired and impossible. And all due to the fact that you have to make enough strength to just blink, tilt your head to see well. In this article, we will analyze the causes and symptoms of PTOs of the Upper Century, and also tell about how to treat it correctly.

What it is

Ptosis (blufaroptosis) is the omission of the upper eyelid, which leads to the narrowing of the eye slit. Normally, the top eyelid closes the eye iris at about one and a half millimeters. When the eyelid closes the eye by two millimeters and more, it indicates a ptosis.

The top eyelid rises with the help of the muscle, which can normally work if it gets nerve pulses via the o'clock nervous channel. But if for some reason the nerve damage occurred, the impulse does not reach the muscle, which leads to the omission of the century.

Sometimes other pathologies are taken for ptosis. So, for example, an eyelid can be descended because of its insufficient support to the eyeball, the same happens in the hexilateral hypotrophy, with a ptosis of eyebrows, dermatocolase and so on.

Blefaroptosis is congenital and acquired. It may appear in both children and adults.

The reason for the appearance of congenital ptosis of the upper eyelid is the underdeveloped muscles of the levators. In addition, their innervation may be violated due to anomalies of development, severe pregnancy and childbirth.

Anatomy of circular eye muscles

Congenital pothose satellites are often strabismous, anisometropy, and so on.

Acquired PTOS has several varieties:

1. Aponeurotic. It arises due to the fact that the aponeurosis of the muscles is stretched and weakens. One of the subspecies of the aponeurotic ptosis is a sedenie or involutional ptosis. He is a sign of physiological aging.
2. Neurogenic. This blepharoptosis is the result of defeat. nervous systemor disease or injury. In addition to the omission of the upper eyelid, the eyeball can be treated and pupil (GNERN syndrome).
3. Mechanical. This type of ptosis occurs during the deformation of the eyelids, which can arise from abroad, breaks, and so on.
4. False. Such ptosis is also called seemingly. It appears in the squint, the hypotension of the eyeballs and with excess folds on centuries.

Types of ptosis of the upper eyelid

Another classification of ptosis of the upper eyelid is based on the degree of severity of this disease:

1. Partial blepharoptosis. The edge of the century is located along the upper third of the pupil.
2. Incomplete blephaertoptosis. The edge of the century is located at the level of the middle of the pupil.
3. Full blufaroptosis. Pupil is closed in a completely completely.

Also ptosis can be one-sided and bilateral. In the first case, the disease affects one eye, and in the second two at once.

Congenital and acquired ptosis of the upper century have different causes of occurrence. So the causes of the congenital disease are:

• Underdeveloped muscle of the upper eyelid due to genetic or hereditary violation. It happens that the muscle may be completely absent.
• The underdeveloped kernels of the ocudual nerve due to neurological disorders during the intrauterine development.

Causes of acquired blepharoptosis:

• Injuries or diseases of the nervous system, which lead to paralysis of glasses.
• Full or partial muscle paralysis raising the upper eyelid.
• Age changes. They affect the elasticity and power of ligaments and muscles, so the skin of the age begins to squeeze.
• Chronic diseases internal organs, diabetes, nerve pathologies.
• Medical procedures spent on face and eyes.

False ptosis appears due to the hysterical condition or nervous tick, strabismus, excess skin in the eyelids.

Ptosis of the upper eyelid can be a sign of some serious illness, so you need to have a complete examination to avoid unpleasant consequences.

Symptoms

The most important symptom of PTOs is the omission of the upper eyelid, which can be one-sided or bilateral and has different severity. A person who has such a disease like blefaroptosis is often forced to strain the muscles of the forehead, lift eyebrows and throw the head. He has all this to do to see better. In addition, a person becomes difficult to blink, which leads to fatigue, irritation and infectious diseases eye.

The degree of severity of PTOs

Additional symptoms of congenital ptosis of the upper eyelid:

• Strabismus;
• Epicatus (fold near the inner corner of the eye);
• Pares of the uppermost eye muscle (incomplete paralysis).

If the eye is constantly closed in a century, it can lead to the appearance of amblyopia (reduction of the visual function).

Additional symptoms of purchased PTOS:

• Diplopia (twist of the image);
• Exophthalm (shift of eyeballs Kepeneda);
• Enofalm (deep position of eyeballs);
• Reducing the sensitivity of the cornea.

Diagnostics

The main goal of the diagnosis of ptosis of the upper eyelid is the establishment of a cause that led to the development of this disease.

To determine the cause, the doctor must:

Surgical correction of PTOs

1. Estimate the position and mobility of the century;
2. Estimate the symmetry of eye movements;
3. Evaluate eyebrows mobility;
4. Determine the size of the folds of the century;
5. Determine the muscle strength raising the upper eyelids;
6. Determine the presence of squinting, amblyopia;
7. Check your vision;
8. Measure intraocular pressure.

The specialist must clarify the patient with information about the presence of bliecoptosis at his parents. The method of treating this disease depends on this.

If ptosis is caused by mechanical damage, the doctor must check the bone structures for damage. To do this, you need to hold review X-ray. If there are suspicions that PTOS appeared due to problems with the nervous system, then a computer or magnetic-resonant tomography of the brain is carried out, a direction to a neurologist and neurosurgeon is given.

It should be remembered that the ptosis of the upper century cannot disappear just like that. To cure this disease, a surgical surgical operation will be required.

The earlier treatment was started, the greater the chance to preserve vision.

If PTOS was caused by a chronic disease, then for a start it is necessary to eliminate this factor, and after carrying out the operation. The operation is carried out by an ophthalmic surgeon under local anesthesia. In the event of the operation in children, general anesthesia is made. The procedure lasts in time on average about one and a half hours.

Stages of the operation:

1. Removing skin strips in the upper eyelid.
2. Cutting the orphanage.
3. Separation of muscular aponeurosis.
4. Removing part of the muscle (shortening).
5. Muscle liner to century barker.
6. Overlay cosmetic seam.

After the operation for a couple of hours, a sterile bandage is superimposed.

Bruises and swelling are held in a week after surgery.

To cure ptosis of the house will not work, the exception is only the age of the upper eyelid. To do this, you can use various cosmetics that feed and tightening the skin of the eyelid.

But you should not expect a quick result, especially if ptosis is greatly expressed.

Operation for the correction of PTOsa. Before and after the behavior procedure

Complications

After the operation to eliminate PTOsa of the Upper Century, the following complications may sometimes occur:

• Conjunctivitis. But he quickly passes with proper treatment.
• Tearing, fear of light, vision disorders, collected age. These complications are temporary and quite soon disappear.
• After the operation, asymmetry sometimes appears. It disappears with time, but sometimes can be saved forever.
• Extremely rarely occurs to turn the eyelids. It requires conservative treatment, sometimes one more operation is needed.

Prevention

As preventive MerSupplementing the appearance of ptosis of the upper eyelid, experts call:

1. Timely diagnosis of this disease, treatment of diseases provoking ptosis;
2. Careful examination and maintenance of pregnancy;
3. Compliance with the day mode;
4. Refusal of alcohol and narcotic substances;
5. Physical activity;
6. Proper nutrition.

What is the destruction of the vitreous body and which are modern methods of treatment.

Treatment of the Halazion of the Upper Century in the child: why it is so important to consult a doctor in a timely manner in this article.

Video outlines

You always need to take care of your health. If suddenly you encountered a ptosis of the upper eyelid. You should not be afraid, it is better to consult a doctor as soon as possible and solve this problem. Timely treatment will prevent many diseases, including strabismus in children or adults.

A source:

Ptosis of the Upper Century: Treatment at home

Ptosis is such a pathology at which there is obscured the upper eyelid over the eye. This disease can violate and reduce visibility field, due to partial or complete closure of the eye slit. Based on this, the ptosis of the upper century is not just a defect, but also an ophthalmic disease that can lead to dysfunction of visual organs. Consequently, such a notch should not be unnoticed, and it is necessary to cure it in a timely manner so as not to get any complications. Types of ptosis of the upper eyelid and the causes of its occurrence

There are two types of ptosis of the upper eyelid: congenital and acquired. Both species differ significantly from each other, as they develop completely differently. For example, congenital ptosis can develop due to the lack of muscle, which, in fact, keeps the top eyelid. In addition, there are also cases as a result of which the aplasia of the side pair cores of the glasses of the glasses occurs, as well as the nervous paths.

As for the upper eyelid purchased PLOSE, it can progress as a result of obtaining retrobulbar hematoma, with inflammatory processes, as well as in injuries of muscle tissue. Ptosis of the Upper Century

Ptosis of the Upper Age Treatment PTOZ

To solve this problem, there is a sufficiently large number of methods and methods. So, for example, treatment folk remedies Plosis of the upper eyelid can be carried out right at home, having only a few miraculous herbs, ordinary vegetables, sesame oil. In addition, you can also turn to the surgical correction of the defect. However, such an approach will be much expensive than the appeal to traditional medicine. As for surgical intervention, you will be offered to eliminate the problem with the help of a plastic surgery, but as for traditional medicine, then with its help you will be naturally able to achieve a positive result.

It should be noted that the treatment of congenital ptosis should be exclusively surgical. If the muscles simply weaken, which are unable to keep eyelids, then you can also treat the treatment of people. Ptosis of the Upper Century

Ptosis of the Upper Century Masks for Treatment Plotosis

If you have a ptosis of the top, a century treatment with folk remedies is a wonderful way out. If the reason for the appearance of the ailment lies in the fact that the muscles simply are not able to keep the eyelid, then in this case there may be irreplaceable masks for the eyelids, oil, as well as a recovery massage.

The eyelid mask is prepared as follows: it is necessary to beat the egg yolk and connect it with several drops of sesame oil (if it is not, then you can do and olive, but not sunflower). After the preparation of the mixture, it is necessary to apply it forever and wait 15 minutes, after which it is washed off with an abundant amount of warm water.

A eyelid mask from potatoes also has a positive impact. For her preparation, potatoes are taken, pre-tightly, and then put the mass in the fridge Namnut. After time, the mass is applied to the eyelids, after which they wash off.

The use of such masks will allow not only to strengthen muscle tissue, but also will save you from wrinkles, which were formed in the process of accusing the upper eyelid. Take care of your health and remember: it is easier to warn a degree to heal!

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Ottop of the Upper Century (Ptoz)

Many people face such a problem as the omission of the upper eyelid, especially after 40 years. It is believed that this is just an external defect that arose due to age-related changes, but in reality, this is a disease called Ptoz. Moreover, it occurs not only with age, but it is found even in childhood. If there is no pathology in a timely manner, it leads to the closure of the eye slit. It represents the omission of a century some fold over the eyes, because of which the patient is discomfort.

The main reasons for PTOsa

The reasons for the omission of the upper eyelid:

1. Underdevelopment of facial muscles or the absence of one of them. This is observed with a congenital form of pathology.
2. Transferred neurological diseases leading to a paresa or paralysis of the nerves of the eyes. It may be multiple sclerosis, stroke, encephalitis, meningitis and similar.
3. Injury facial muscles, eyes.
4. Genetic predisposition.
5. Weakening facial muscles.
6. Age changes.
7. As it is not sad, but Botox injections intended for skin suspenders can provoke the omission of the upper eyelid.

Symptoms and stage of the disease

ATTENTION! No matter what was the reason for the omission of the century, the symptoms are always manifested immediately. This is the danger of the disease, because it is difficult to recognize on initial stages. Consequently, late detection leads to more complex therapy. Therefore, it is important to pay attention to the smallest signs. Symptoms and signs of PTOs, depending on the development stage:

1. Stage number 1 is characterized by minor changes at the bottom of the eyelid. The person appears dark circles under the eyes, folds and bags.
2. Stage number 2. The patient becomes noticeable border passing between eyes and cheeks.
3. Stage number 3. The upper eyelid is lowered, the slot decreases. Looking at the patient, it seems that he is saddened with something or looks at the interlocutor improber.
4. Stage number 4. The patient has a deepening of the nasty groove, the omission of the eyelid, even from the outside of the outer corners. Man begins to look older than his age.

Ptosis is classified and by severity:

1. Degree number 1. Updated eyelid covers the pupil about 1/3.
2. Degree number 2. The eyelid is lowered half, with the result that only the floor of the pupil is visible.
3. Degree number 3. The eyelid closes the eye completely, the eye gap is missing.

Other symptoms:

1. Visual reducing eye.
2. Falling the lower eyelid.
3. Redness of the mucous membranes and fatigue of the visual body.
4. Feeling of a foreign body and discomfort.
5. Forked image of objects and decrease in visual acuity.
6. Development of space.

Upper eyelid

1. The omission of the century may be one-sided or bilateral.
2. Congenital form or acquired.
3. Partial omit or full.
4. Neurogenic and post-trap ptosis.

   Methods of diagnosis of PTOs

   To form an accurate diagnosis, it is necessary to refer to an ophthalmologist, but in no case to a beautician or plastic surgeon, as many do. An experienced specialist visually examines summary and directs a patient to a hardware examination, during which the muscle tone is measured, the symmetry of the folds. In addition, binocular vision is checked, the angles of a possible squint are measured, the convergence is studied and so on. This uses ultrasound examination, autorecatometry, x-ray, eye electromyography. As well as magnetic resonance imaging brain. The ophthalmologist necessarily directs the patient to the neuropathologist.

   Medical therapy

   The treatment of ending the eyelids is comprehensively implemented, the following activities are applied:

   1. The neurogenic type of ptosis can be cured by physiotherapy procedures, for example, UHF. Additionally, drugs that contribute to the full nutrition of damaged nerve tissues are used. Be sure to patient should make eye gymnastics and massage. Quite often, the doctor prescribes galvanotherapy.
   2. If the cause of PTOs was the injection of Botox, then the disease is considered short-term, therefore, in principle, it is possible and not to apply therapy. However, to speed up the disposal of the defect and in order to avoid consequences, the patient is prescribed eye dropsStimulating reductions of damaged muscles. The preparations are based on such substances as "phenylephrine", "Alfagan", "Lopidin" or "IPratropium". It is recommended to additionally massage the area of \u200b\u200beyebrows, make steam baths and use special masks, cream. In the absence of a positive result, surgical intervention is appointed.

      Surgical therapy

      The methods of treating pectoose surgical means there are several, but the most popular and effective method is considered to be blepharoplasty. It is held under local anesthesiawhere the anesthetizing drug is introduced into the upper eyelid. Next, in the skin fold, the doctor makes a small incision through which the excess tissues removes.

      Treatment at home

      POTOZ treatment at home is carried out at the initial stages of the disease and in age changes. These methods are quite effective and efficient:

      1. When the upper eyelid is omitted, the ice cubes must be applied twice a day (in the morning and evening).
      2. For this, healing herbs, parsley, birch leaves are used for this.
      3. It is useful to do and compresses. For example, from raw potatoes and parsley juice.
      4. Tightening mask: grate with raw potatoes on a shallow grater. Add 1 raw egg, parsley greens and a bit of cottage cheese. To impose a mask Namnut, after which it was washed with warm water.
      5. It is important to make a massage for the upper eyelids every day. At the same time, use the rejuvenating oil, for example, coconut. Lubricate your hands with oil and proceed to the massage. First massage the upper eyelids, then the bottom, but strictly through massage lines. That is, at the top of the movement, start from the inner corner, and below the external one. Movements should be slightly pressed and stroking. In the intervals, make a slight tendering of the pillows of your fingers. At the end of the procedure, impose a cotton discs, moistened in the grave brave.

         Special gymnastics

         Without gymnastics it is impossible to get rid of the defect of the eyelid, so apply special exercises When omitting the upper eyelid:

         1. Take a comfortable position sitting and see yourself. Then remove the look right, then up. After that left and down. Thus, you need to make 5 circular movements.
         2. Lift your head up, open your eyes and mouth. Now actively blink for a minute.
         3. Eyes open, look forward. Take the skin on the temples with your fingers so that the eyes are stretched. In the fast rhythm, open and close.
         4. Close up of eyes and hold the eyelids with outwards. Now try to open your eyes as wide as possible. But do not weaken your fingers.

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What is blufaroptosis, why he arises and how to eliminate it

Ptosis of the century, or blufaroptosis is the omission of the upper eyelid in relation to the edge of the iris by more than 2 mm. It represents not only a cosmetic defect, but it may be a symptom of certain pathology and lead, especially in children, to a resistant reduction in visual acuity.

Symptoms and causes of top-century ptosis

The main symptoms are:

• visually noticeable blophopttosis directly;
• sleepy facial expression (with bilateral lesion);
• formation of leather wrinkles of forehead and easy eyebrow lifting while trying to compensate for ptosis;
• the rapid attack of eye fatigue, a sense of discomfort and pain in the load on the organs of vision, excessive tear;
• the need for applying an effort to climb eyes;
• over time or immediately arising squints, a decrease in visual acuity and bias in the eyes;
• "Storage Pose" (easy threading head of the head), especially characteristic of children and is an adaptive reaction aimed at improving vision.

The mechanism for the development of this symptomatics and directly the PTOS itself is as follows. Motor functioning of the eyelid and the width of the ocular slit depend on the tone and abbreviations:

• Upper Century Levator (muscle lifting), which controls vertical position the latter;
• Circular eye muscles, allowing steadily and quickly close your eyes;
• The frontal muscle contributing to the reduction, the compression of the century at the maximum gaze up.

Tone and reduction are carried out under the influence of nerve impulses entering circular and frontal muscles from the facial nerve. Its core is located in the brain stem department on the appropriate side.

The muscle raising the upper eyelids is innervated by the neuron group (the right and left beams of the central tail), which are part of the kernel of the ocudual nerve, also located in the brain. They go to the muscles of their own and the opposite side.

Classification of PTOs

It may be bilateral and one-sided (in 70%), true and false (pseudoptosis). False ptosis is due to excess skin and subcutaneous fiber, the hernia, strabismus, decrease in the elasticity of eyeballs and, as a rule, is bilateral, with the exception of one-sided endocrine pathology of the eye.

In addition, the physiological and pathological compensation of the eyelid is distinguished. The above-mentioned groups of nerves are associated with a sympathetic nervous system, with a retina, with a hypothalamus and other structures of the brain, as well as with the frontal, temporal and occipital cerebral areas of the brain. Therefore, the degree of muscle tone and the width of the eye slit in the physiological state are in close relationship with the emotional state of the person, fatigue, anger, surprise, the reaction to pain, etc. Blefaroptosis in this case is two-way and wears a non-permanent, relatively short-term character.

The pathological ptosis occurs during injuries or inflammatory processes eyeball or muscles carrying out the movement of the eyelid, with inflammatory processes of brain shells and in violations at various levels (nuclear, supervising and semide) in the conductive nervous system with heart attacks and brain tumors, violations of sympathetic innervation and transmission of the nerve pulse to the muscles, during the surfaces of the upper roots spinal cord, lesions of the shoulder nervous plexus (Plexopathy), etc.

Depending on the degree of pathological condition, distinguishes:

1. A partial ptosis, or the I degree, at which 1/3 of the pupil is covered by the upper century.
2. Incomplete (II degree) - when half or 2/3 pupils are covered.
3. Full (III degree) - Full pupil cover.

Depending on the cause of the blufaroptosis divided into:

Congenital pathology

Congenital ptosis of the upper century meets:

• With congenital horn syndrome, in which Ptosis is combined with a narrowing of the pupil, the expansion of the conjunctival vessels, weakening the sweating on the face and barely noticeable deeper location of the eyeball;
• With Marcus syndrome - Gunna (palphebromandibular syncinosis), representing the omission of the century, disappearing during the opening of the oral cavity, chewing, during the yawn or displacement of the lower jaw in the opposite direction. This syndrome is a consequence of congenital pathological relations between the nuclei of a triangistic and glazation nerves;
• In the Duin syndrome, which is a rare congenital form of a sep-eyed, in which there is no ability to displace the eye of the dudder;
• As an isolated PTOS, due to the complete absence or an abnormal development of a levator or its tendon. This congenital pathology is very often transmitted by inheritance and almost always happens bilateral;
• With congenital miastic or anomalies of the innervation of the temper;
• Neurogenic etiology, in particular with a congenital pares of the third pair of cranial nerves.

Congenital Ptosis of the Upper Century in Children

Acquired ptosis

Acquired PTOs, as a rule, is one-sided nature and develops most often due to injuries, age-related changes, tumors or diseases (stroke, slimming herpes, etc.), the consequences of the paresis or paralysis of the levator.

Conventionally distinguish the following main forms of the acquired pathological condition, which may have a mixed nature:

Most frequent cause - This is an involutionary age omission of the upper eyelid as a consequence of dystrophic changes and weakness of muscular aponeurosis. It is less likely to be traumatic damage, long-term treatment with corticosteroid drugs.

Arising usually during miastic or miasthenic syndrome, muscle dystrophy, blefrophimosis syndrome or as a result of eye myopathy.

It occurs, mainly as a result of innervation violations by the o'cloth nerve - with the appeal syndrome of the last, its paresis, the horn syndrome, sclerosis, stroke, diabetic neuropathy, intracranial aneurysms, ophthalmoplegic migraines.

In addition, neurogenic ptosis is also occurring at the defeat of the sympathetic path, which begins in the hypothalamic field and the reticular formation of the brain. Blephalectoroptosis associated with the lesion of the glamology nerve is always combined with the expansion of the pupil and disruption of the movement of the eye.

The violation of the transfer of momentum from the nerve to the muscle often arises as a complication after the introduction of Botox and its analogues (dysport, kseomine) in the upper third of the face. In this case, blufaroptosis may be associated with a violation of Fun

the cities of the century itself as a result of the diffusion of toxin in the levator. However, most often this condition is developing as a result of local overdose, entering or diffusing a substance in the frontal muscle, excessive relaxation and exacerbation of the oscillation of the skin folds.

Or fully insulated ptosis due to inflammatory process and an edema, an isolated lesion of the levator, the scars, pathological process in the eyeboard, for example, a tumor, damage to the front of the orbit, one-sided atrophy of the face muscles, for example, after a stroke, a significant tumor formation of the century.

Blefaroptosis of the upper eyelid after blepharoplasty

It may be in the form of one of the listed forms or their combination. It arises as a result of postoperative inflammatory edema, damage to the paths of outflow of the intercellular fluid, as a result of which its outflow is disturbed and the edema of tissue, damage to the muscles or muscle aponeurosis, as well as the hematoma limiting their function, damage to the endings of the nerve branches, forming coarse adhesions.

How to treat this pathological condition?

Acquired ptosis of the upper age

Treatment of ptosis of the upper eyelid

There are conservative treatments and various surgical techniques. Their choice depends on the cause and degree of expression of pathology. As a very short-term auxiliary method, the pectoose correction of the upper eyelid can be used by fixing the latter using the leukoplasty. This method is used mainly as temporary and additional when it is necessary to eliminate complications in the form of inflammatory phenomena of conjunctiva, as well as with complications after botulinitherapy.

Treatment of ptosis of the upper eyelid after Botox, Distports, Kesomin

It is carried out using the introduction of prozero, receiving elevated doses of vitamins "B1" and "B6" or their introduction in solutions by injection, physioproceedore (electrophoresis with a solution of prozero, darsonval, microcuria. Galvanotherapy), laser therapy, massage of the top third of the face. At the same time, all these measures only slightly contribute to the restoration of the muscular function. Most often it happens on its own within 1-1.5 months.

Dispositive therapy

Treatment of ptosis of the upper eyelid without surgery is also possible with false blephortose or in some cases of the neurogenic form of this pathological state. Correction is carried out in physiocabines by applying the following physiotherapy and massage. Treatment is also recommended - this is a massage, gymnastics to increase the tone and strengthen the muscles of the upper third of the face, lifting cream, a row with the infusion of birch leaves, with a decoction of parsley root, with potato juice, treatment of ice cubes with infusion or decoction of the appropriate herbs.

Gymnastic exercises in the ptosis of the upper century are to:

• circular motion of the eyes, look up, book, right and left at a fixed head;
• the maximum possible disclosure of the eyes for 10 seconds, after which it is necessary to close the eyes tightly and strain the muscles also 10 seconds (repetition of the procedure up to 6 times);
• repeated sessions (up to 7 s) of rapid blink for 40 seconds when the head of the head is worn;
• repeated sessions (up to 7 s) lowering the eyes when the head is trapped with a nose look delay for 15 seconds and followed relaxation and others.

It should be noted that all conservative methods of treatment are mainly not therapeutic, but preventive nature. Sometimes, with the first degree, the conservative therapy contributes to only the form of blepharoptosis, only an insignificant improvement or slowdown in the process progression.

In all other cases of the pathological condition and in blephacomptose II or III degree, the use of surgical methods is necessary.

Operation at the ptosis of the upper eyelid

To eliminate this pathology, a very large number of surgical techniques are developed, which are combined into three groups.

A typical surgical operation of the first group is the GESS method. It is performed in the case of the presence of paralysis of the upper straight muscle and the levator, but subject to the preservation of the good functioning of the frontal muscle. The technical execution of the operation lies in the longitudinal cutting of the skin in the middle of the eyebrows and the size of the latter length. The skin is separated (separated) by the scalpel, slightly not reaching the edge (ciliary).

After that, three seams are subcutaneously superimposed so that the threads passed into the thickness of the frontal muscle. As a result of their tension, tightening the century. Seams are deleted in 21 days, during which and under the next days there is a connecting tissue. The latter and raise the eyelid as a result of a reduction in the frontal muscle.

It is the basis of surgical interventions relating to the second group. Its meaning is that due to the upper straight muscle, in the absence of its paralysis, the function of the muscle lifting muscle is increased. This method is extremely rare, due to the complexity of its technical execution.

This operation refers to the surgicial methods of the third group. Its meaning consists in forming folds on the tendral part of the levator. In practice, the modification of the operation of the Eversbush proposed by Blashkovich was received especially widespread.

Its technique is to turn the century on a special vector figure, on a special tweeze (Borharrdt - Strpova) or on a record of the Eger, intended for fixing the twisted century and protect the eyeball from damage. Then the conjunctiva is cut horizontally along the upper edge of the cartilaginous plate and three suture threads are carried out through the upper edge of the cut. The conjunctivation of the scalpel is separated from the muscles raising eyelid, through which three sutures are also carried out at its fixation, and the threads are associated together.

Tighting the latter, crosses the muscle at the point of attachment to the cartridge and produce its separation in the depths of the orbit. After that, the suture threads that were superimposed on the conjunctival are carried out through the muscle-lifting muscle, and from the circular muscles of the eye separate and excite the cartilage, with the exception of its small (2-3 mm wide) strips. The seams that were imposed on the mucous membrane of the eye and on the lifting muscle are carried out through the remaining part of the cartilage plate and through the skin - the outside, where they are fixed on the gauze rollers. Suture threads are removed after a half - two weeks.

Blefaroplasty upper eyelids

Thus, the testimony for surgical treatment is the omission of the upper century of a congenital character and the acquired blepharoptosis, long-term (6 months or more) the time is not amenable to effective correction with the help of conservative methods.

Congenital ptosis is a disease characterized by the omission of the upper or lower eyelid, can be one-sided or double-sided, but the first one occurs much more often.

The disease occurs even during the period of intrauterine development of the embryo. How to recognize and treat pathology? About this next.

Classification

Ophthalmologists divided congenital blepharoptosis on 3 types:

• partial - the upper eyelid closes the pupil by 1.5 mm;
• incomplete - the pupil is closed at 2 mm;
• full - the pupil is completely closed.

Symptomatics

Congenital ptosis is one-sided and bilateral. If the upper eyelid is omitted, the fold is invisible or missing. When looking down the pathology is invisible. If the disease is one-sided, then one eyelid is placed above the other due to the scar changes in the o'clock muscle.

If the paralysis provoked paralysis of the III pair of cranial nerves, then the disease is manifested by violation of eye mobility.

Basic symptoms of congenital blepharoptosis:

• olive upper eyelid over one or two eyes;
• the inability to close the eyelids;
• limited mobility of the century;
• the eyes are blushing, a feeling of dryness and cutting appears;
• the amazed eye is quickly tired;
• images of items are split;
• strabismus;

A newborn with a diagnosis of "one-sided ptosis" may not open the eyes for 3-5 days.

Treatment methods

Congenital ptosis is treated with two methods: traditional and surgical. Conservative treatment Used in rare cases, for example, with neurogenic blephalinetosis. The goal of therapy is to restore the functions of the glasses.

The traditional methods of treatment of the innate form of illness include UHF therapy - this is a method of physilation, in which the high frequencies of the electromagnetic field are gently and efficiently affected by the patient. Galvanization (ionophoresis) is modern method treatment at which the permanent electricity Low voltage (about 80 c) and small force (about 50 mA). Also, the lowered eyelid can be fixed with a special plaster, although this method is not very effective and causes discomfort in the patient.

If traditional methods do not bring positive results, it is necessary to carry out a surgical operation. This is the most effective method treatment of illness. The operation is better to spend another aged, because the older patient, the higher the risk of postoperative complications.

If the emitted eyelid is fixed, it is fixed to the forehead with a cosmetic seam, which is almost impaired after the operation. The functionality of this method is doubtful, but the complications can not be afraid.

If the eyelid is moderately movable, then part of the muscle is removed, which raises the upper eyelid. After resection, the muscle becomes shorter and the eyelid can no longer be descended. For this, the doctor makes a small incision not a century, cuts off the strip of the skin and removes part of the muscle.

If the tour of the century is good, the muscle duplicature is superimposed. The muscle is shortened, and the eyelid takes the right position.

Congenital ptosis obliges to act quickly and find a professional surgeon, which will conduct competent therapy. After all, further forecast depends on the results of treatment. Unsuccessful operation can lead to different complications.

For more complete acquaintance with eye diseases and their treatment - use the convenient search on the site or ask a question to a specialist.

Ptosis is a visual disorder in which the correct position of the upper or lower eyelid is violated. There is a pathology in adults and children. It can occur for various reasons and manifest itself in different ways. In our article we will tell about the factors that lead to the development of PTOs in the child, the symptoms and the treatment of this ailment.

What is Ptoz?

The wrong position of the upper or lower eyelid in relation to the eyeball is called ptosis. For the first time, the name of this pathology was used by the ancient Greeks.

In this article

Translated "Ptoz" means "drop", "omit". This process occurs with the centuries under the influence of various factors. Ptosis of the Upper Century is the most common appearance of the alend. Such a violation is usually well noticeable and more dangerous for the patient. Complications of this state may be very serious and lead to other diseases.
The main problem of PTOS is not only in a cosmetic defect. Because of this pathology, the eye slit is narrowed: partially or completely. Such a state worsens vision, often leads to the development of other ophthalmological diseases. The second name is illness - blufaroptosis. So indicate only visual pathology, which makes it possible to more specifically describe the diagnosis of the patient. In medicine there are such concepts as "ptosis of the informs" or "Ptosis of the buttocks". The term "blephaertoptosis" indicates that the omission occurs on the centuries.

In the absence of pathology, the rainbow eye sheath is closed by the edge of the upper century no more than 1.5 mm. In the ptosis of the eyelid lowers 2 mm and more. There is another ophthalmological disease, the manifestations of which are very reminiscent of Ptosis. It is called the pathology of the retraction of the century. In this violation, it is not completely closed. The eyelid shifts in the direction of the upper or lower edge of the orbit. This leads to the fact that the gluable area, which is located above the pupil, becomes clearly visible. Retraction of the upper eyelid - characteristic symptom Endocrine ophthalmopathy.
Often ptosis take for the horner syndrome. it clinical syndromewhich develops due to the defeat of the sympathetic nervous system and refers to neurological pathologies. For the horn syndrome, the presence of ptosis of the upper eyelid is characteristic, but this violation is one of the signs of this disease.

Pathology provokes the emergence of many ophthalmological disorders. Because of the wrong reduction of the glasses, the patients are narrowed or expanding the pupil, the eyeball seems to be "recessed" in orbit. These symptoms allow you to distinguish the Gunner syndrome from PTOs.

Causes of pectoose top eyelids

The development of pathology is associated with a violation of the work of the group of the oxogotable muscles. These include:

• the muscle-levator, which is responsible for raising the century;
• circular eye muscle providing its quick closure;
• lobnaya muscle contributing to the reduction and compression of the century.

The muscle tone "launch" the nerve impulses that come to the frontal and circular muscles from the facial nerve. The muscle-levator, which raises the upper eyelid, is innervated by a group of neurons that are part of the kernel of the ocudual nerve. It turns out that neurons are sent to the muscle "incorrect way", from the opposite side. If the tone of these muscles decreases, then the age cannot maintain the correct position. It seems to be accused and covers part of the iris. Because of this, the width of the eye slit is reduced. The main reasons for the pectoose of the upper eyelids are usually associated with the anomaly of the visual muscles or with the pathologies of the glasses.
Congenital ptosis arises due to the fact that the muscle-levator is underdeveloped or completely absent. Much less often there are cases of pathology that have become a consequence of the Agensia of the nuclei or conducting the paths of the oculomotor nerve, that is, their absence. Congenital ptosis of the upper eyelid in children is usually the hereditary pathology of autosomal dominant type. If one of the parents have ptosis, then the child has a 50% probability. Sometimes it happens that the mother or father Ptosis takes place in the initial stage and almost imperceptible. The child has pathology can develop more thoroughly, until the fact that the eyelid will completely block the iris.

The genetic factor is not the only reason why PTOS is developing in newborns. Pathological course of pregnancy, bad mother habits, generic injuries Also can also have an adverse effect on the formation of eye muscles. If the shape of PTOs is congenital, it almost always accompanies other ophthalmic violations. The most common among them is myopia, farewell and astigmatism. Refractive anomalies are almost always developing against the background of the omission of the century. A child begins to mow eyes, amablopia may arise.

Many patients face anisometropy - a significant difference in the refraction of both eyes.

Why does the congenital form of PTOsa arise?

In children, the eyepieces usually diagnose congenital ptosis of the upper eyelid. Often this violation is found in the following pathologies:

• in the horn syndrome, when the omission of the century is accompanied by a narrowing of the pupil, the expansion of the vessels of the conjunctiva and the deeper location of the eyeball;
• with Duin syndrome - a rare form of congenital heterotropy, when the eye cannot shift out;
• with Marcus syndrome - Gunna, which is often called Palpbromandibular synclosis. At the same time, the ancestor of the eyelid is lowered lower than it should, only in certain cases. During the opening of the mouth or yawn, the violation disappears. Marcus-Gunna's syndrome is connected with congenital anomaly in the work of the eye and trigeny nerves;
• in the miastion of gravis - neuromuscular disease of the autoimmune system, for which increased fatigue of transverse muscles is characteristic;
• with neurogenic violations, for example, congenital paresis of the third pair of cunning nerves;
• when blefarophomy - ophthalmological syndromeFor which the reduction in the horizontal or vertical size of the eyelids is characterized.

IN childhood Ptosis is bilateral - simultaneously developing in both eyes, or one-sided, in which the eyelid is omitted only on one eye. The form of ptosis of the upper eyelid depends on the reasons that led to its development. If only the genetic factor affect the occurrence of pathology, then the violation is usually bilateral. This is due to the defeat spectator nervewhich occurs due to adverse factors during pregnancy or burdening heredity.

Diagnosis of pectoose century in children

Many parents believe that the congenital ptosis of the upper eyelid in children can be identified independently and visiting the eyepiece is not necessary. This is not true. First, the symptoms of this pathology are similar in other ophthalmological and neurological diseases. Without having sufficient knowledge in the field of medicine, parents can easily confuse disorders and start independent treatment The child is wrong. Secondly, PTOS can manifest itself in different ways. There are several degrees of this ailment. With a partial ptosis of the upper eyelid, which is sometimes called the initial or primary stage, the omission is not so pronounced, which makes it difficult to diagnose.
With suspected signs of ptosis of the upper eyelid, the child should write the baby to the occasion to the oculist. At first, the doctor carefully surprises the mother and father about the presence of hereditary diseases in the family. The information obtained will help the eyepiece to understand, the child is predisposed to the omission of the upper eyelid or not. During inspection, the doctor must measure the height of the eyelids, assess the completeness and symmetry of their movements. Often the oculist prescribes the magnetic resonance imaging of the brain. This method allows you to diagnose neurogenic deviations that can cause the development of the top eyelid pectoose.
The biomicroscopy of the eye is a mandatory procedure that the doctor holds in suspected of the ptosis of the upper century in the child. It is carried out with a slit lamp and allows you to explore the structure of both eyes. If necessary, the oculist is measured by eye pressure. He also exercises special testing, whose features depend on the age of the child.

During the diagnosis of PTOs, the measurement of visual acuity plays an important role, since pathology almost always implies the deterioration of refraction and becomes the cause of myopia or hyperopia.

Acquired ptosis in children

In childhood, a congenital form of PTOs is usually found, but it is not the only one. Sometimes the child develops the acquired omission of the upper eyelid. This rarely happens in the first years of life. More often, the symptoms of the purchased ptosis occur at school age. One of the varieties of pathology is neurogenic ptosis. The omission of the century arises due to the cranial and brain injury, bacterial or viral influence on the body, which lead to damage to the glasses.

This form of illness is preceded by:

• meningitis;
• encephalitis;
• muscle dystrophy;
• brain tumors;
• multiple sclerosis;
• moopathy.

The mechanical omission of the upper eyelid can also occur in childhood and lead to ptosis. In this case, the ptosis of the century in the child develops due to the pressure of the eyebrow tissues. This can occur due to the tumors of the eyelids, damage to the eye orbits, the deformation of the century, scarring. A similar form of pathology is called pseudoptosis. A characteristic feature of this violation is an excess of skin in the upper eyelid. Because of this, it seems that the pupil is blocked, but the muscle-levator is not damaged, which means there is no ptosis in a child.

Conservative Treatment of Child Petosa

To eliminate the top of the top century, medication is very rarely used. It is effective only at the initial stages of pathology. Medicia treatment Based on the injecting administration of drugs, active substances which are botulinum-toxins.

These funds are widely used in cosmetology. With their help, it is possible to smoke wrinkles and increase the elasticity of the skin. Main component Preparations - botulinum toxin. This is a poison of organic origin, which for a long time was considered dangerous for people. In modern medicine, medicines produced on its basis are very popular. Scientists have conducted thorough studies of this substance, calculated its permissible dosage, which made it possible to make drugs based on it safe.
Most often doctors use drugs such as: "Botoululovkin", "Distport", "Lantoks". Treatment without surgery of ptosis of the upper eyelid is also possible using preparations based on aproklonidine. These are such drugs as: "Klonidin", "Citooflavin", "Iopidine". AproSlonidine, which enters into their composition, contributes to the reduction of Muller's muscle, originating from the bottom of the Levator. Such an impact allows you to raise the upper eyelid when omitting it. In the treatment of ptosis, doctors are often prescribed to children receiving vitamins of group V.

You can get it from both vitamin complexes and food. The required amount of vitamin B is contained in:

• nuts;
• liver;
• beef;
• chicken eggs;
• sunflower seeds;
• oaturase;
• cauliflower;
• cereals and bran;
• sour cream;
• pea.

When prescribing drugs, the doctor should find out if a child takes any medicine, does it suffer chronic diseaseswhether there is a tendency to allergic reactions. The treatment diagram and dosage of the drug oculist determines individually. An important role is played by the age of the child, as many drugs that are used to eliminate PTOs are contraindicated to children under 3 years.

Surgical method of treating PTOs

A more efficient method for the treatment of upper eyelid is the operation. This method allows you to cure congenital and acquired PTOS. The child is carried out under general anesthesia. Before surgical intervention, children are appointed complete medical examination. Inspection from different doctors allows you to diagnose serious pathologies in which the operation cannot be carried out.

These are diseases such as:

• diabetes;
• fibergation;
• blood blood clotting;
• hypothyroidism and hyperthyroidism;
• dermatomyomy.

Operation is contraindicated in colds and bacterial pathologies. Even with ORVI, treatment will be postponed until the child's complete recovery. If earlier they were transferred to diseases such as conjunctivitis, blepharitis, blefarohalyazis, the decision on the time of the operation must accept the doctor. Before carrying out the operation, it is necessary to limit the use of oily and acute foods, while staying a child in the sun.
Doctors carry out an operation as follows: the skin of the eyelid in the field of its natural folds is caught, after which its extra parts are removed. Usually there is a fat hernia in them, if it is available. The purpose of the operation is a suspension muscle tightening and a tear gland. With congenital ptosis, doctors should shorten the eye muscle. First, they allocate the levator, after which the muscle is excised and create a duplicate - an anatomical formation of two lamellar layers.
The rehabilitation period after the operation lasts about two weeks. Natural phenomenon at this time are swelling and bruises. You can get rid of them with cold compresses. In the first days after the operation, it is recommended to use eye drops that will help to remove the swelling and contribute to a faster tissue healing.

The seams usually remove a week after surgery. During this time, it is desirable that the child remains in the clinic, under the supervision of the eyepieces.

The defect of the upper eyelid is known under the term "blepharoptosis" or, in the abbreviated version - Ptosis. The disease can develop under the influence of many reasons and is a cosmetic flaw, amenable to therapeutic effects.

The etiology of the pathological state

Ptosis may affect one or both of the upper eyelids and is divided:

• on one-sided defeat;
• bilateral - with the fall of both century.

The gravity of the changes directly depends on the severity of the process:

• primary - characterized by partial omission of the upper eyelid, with the cover of the eyeball not more than 33%;
• secondary - with deviation, significant omission is recorded, the visible region reaches 33 - 66%;
• tertiary - the total omission of the upper eyelid closes the entire area of \u200b\u200bthe pupil, visibility is zero.

The pathological process occurs in stages, with a gradual fall of the upper skin fold. At certain periods of time, deformation changes become more pronounced.

Experts allocate several stages of the disease:

1. The first - visual changes are practically invisible. There is a weakening of the facial muscle, bags, folds and dark circles begin around the eyes.
2. The second is characterized by the formation of a clear distinction of the territory between the area of \u200b\u200bthe eye and the cheek.
3. The third - noticeable manifestations are expressed in the omission of the upper eyelids almost to the area of \u200b\u200bpupils. From the side there is a feeling that the patient is constantly sad, upset, dull and inexpressive glance. The effect of the view of the look of improber or frowning, unhappy man.
4. The fourth is an inepended rosal furrow contributes to omitting not only the upper eyelids, but also the corners of the eyes. Amended changes change the age of the patient - it looks much older.

Ptosis is recorded at a distance between the boundaries of the upper eyelid and the iris, more than 1.5 mm.

Prerequisites and reasons for ptosis

The causes of the development of the disease are various external factors. The disease is considered in terms of a congenital and acquired defect.

Developed under the influence of a variety of prerequisites, the acquired form is additionally divided:

1. Upionethic - pathological deviation affects the structures regulating the rise of the age. Muscular fibers exposed to stretching or damage are characterized by violation of functionality. The formation of the disease occurs under the influence of inevitable changes, the risk group includes patients of the elderly age period.
2. Neurogenic - caused by violation of the activity of nerve fibers that are responsible for the motor functionality of the eyes. The deviation is formed under the influence of the reasons associated with the workability disorder of the nervous system:
   • scarmed sclerosis;
   • stroke lesions;
   • neoplasms in the brain departments;
   • brainstuff abscess in the cranial box.
3. Mechanical - such a variant of pathology leads to the shortening of the upper eyelid in the horizontal plane. Deviation occurs under the influence of factors:
   • with the presence of neoplasms in the eyes;
   • traumatizations through foreign bodiesin the eyes;
   • breaks of the integrity of the mucous membranes and other regions;
   • due to the undergoing scarring process.
4. Miogenic - registered after the formation of myasthenic syndrome - autoimmune type of lesion of a chronic character, leading to a decrease in the total muscular tone and increased fatigue.
5. False - the disease occurs under the influence of the following pathological conditions:
   • severe squint;
   • excessive amount of skin of the eyelids.

The congenital variant of pectose is formed under the influence of individual factors of intrauterine growth:

• insufficient development or complete lack of muscle responsible for the process of lifting upper eyelids;
• blefarofimos - refers to rarely recorded genetic anomalies characterized by shortening of eye cracks (in a vertical or horizontal plane) due to the controversial edges of the age or chronic conjunctivitis;
• palpbromandibular syndrome - disorders of the system of the system responsible for raising the age, due to the lesions of the cerebral barrel with accompanying complications of strabismus or amblyopia.

An additional characteristic of Marcus-Gunna syndrome is an involuntary opening of the eye slit at a time of conversation, chewing or other jaws.

Symptomatic manifestations

Pathological deviation is accompanied by various symptoms. The frequently registered features of PTOs include:

• pronounced omission of the boundaries of the upper eyelid;
• minor out;
• small volume of affected eyes;
• shortened eye slit;
• falling massive fold at the top of the century;
• closely planted in relation to each other's eyes;
• fast fatigue of organs of vision;
• often arising hyperemia and irritation of mucous membranes;
• reduction of visual acuity;
• feeling of foreign objects in the field of eyeballs;
• sharp narrowing of the pupil;
• splitness ahead of the arranged objects;
• rare or absent blinking;
• constant eyebrows;
• involuntary thumbnails of the head back to raise the lowered century;
• inability to dense eyelid closure;
• in some cases, squint.

In exceptional cases, the defeat may be accompanied by symptomatic manifestations:

• miasthenic syndrome, feeling of constant fatigue and weakness in the afternoon;
• myopathia, the weakening of muscle structures provoking a partial cover of the eyelids;
• involuntary raising of the eyelid with the movements of the jaw and when disclosing the oral cavity;
• palpebral violation of functionality, expressed in the fall of the upper unit and the outwardness of the lower, explicit narrowing of the eye slit;
• the simultaneous omission of the eyelids, the blasting of the eyes and the narrowing of the pupil is the symptom of Claude Bernard-Gunner.

Ptosis in children

Ptosis in children is divided into congenital and more acquired. Ptosis is often combined with other violations of the functionality of the eyes, among which they prevail:

• heterotropy - pathology that impede the concentration of both eyes on one subject, with a violation of their coordination;
• - a deviation at which one of the organs of vision is not involved and the brain gets different pictures that cannot be connected into a single integer;
• - a disease characterized by a significant difference in eye refraction can be combined with astigmatism and leak without it;
• diplopia is a violation, as a result of the activity of which all objects in the field of view are doubled.

Ptosis may be a manifestation of common diseases. The main prerequisites for the development of the disease in kids belong:

• traumatization obtained at the time of the passage of the generic paths;
• the dystrophic type of myasthenia is related to severe forms of autoimmune lesions affecting muscle fibers and nerves;
• neurofibromes - a neoplasm that occurs on the shells of the nerves of the upper eyelid;
• ophthalmoparez - partial immobilization of the eye muscles;
• gemangioma is a tumor-like formation forming on vessels.

Congenital ptosis

It has classification features related to the root causes of the pathological condition in childhood:

1. Dystrophic form - refers to the most frequently registered arising:
   • with deviation from the standard development of the structures of the upper eyelid;
   • with the weakness of muscle elements of the upper muscle;
   • in dystrophic changes of the scheduling;
   • when blefropozove - genetically predisposed insufficient development of the eye slit.
2. The non-sophisticated form is characterized by the stable performance of the muscles of the upper eyelids.
3. Congenital neurogenic - formed during a paresa of the third pair of cranopy brain nerves.
4. Miogenic - passed on the hereditary line from the mother to the child.
5. Pathology, combined with the phenomenon of Marcus Gunna - a state characterized by spontaneous raising of the upper eyelids, sampled during the disclosure of the mouth, swallowing movements, the latter jaw to the side (any functions performed by the chewable department).

Transferred option

Ptosis of this type in kids has its own background of education and subspecies:

The deviation that arose as a result of the defectivity of the aponeurosis, characterized by the presence of unnecessary leather folds and often emerging edema of the eyelids. Almost all fixed options affect both eyes.

Neurogenic ptosis, has its own varieties and reasons:

• defeat the motor journey in the field of the third pair of cranopy brain nerves;
• congenital horn syndrome - characterized by obtaining traumizations at the time of the child of tributes or other unclear origin;
• acquired Gorner Syndrome - as a sign of damage to the nervous system, formed after surgical interventions in the region chest or due to neuroblastoma (malignant neoplasm, developing exclusively in the children's age period).

Moiogenic ptosis is recorded in the presence of pathological deviations:

• under the available myasthenia - arising against the background of underdevelopment and neoplasms in the field of the fork gland, characterized by the lesions of the eye muscles, two doomes in front of the objects and asymmetry;
• with progressive outer-partial paralysis of the nerves of the cranial and cerebral department responsible for the innervation of eye muscles.

Mechanical - forming as a consequence of scar tissues and neoplasms on the skin of the upper eyelid.

False is fixed with disorders and disorders of the movements of the eyeball up and down, with the presence of unnecessary skin folds in the region of the upper eyelid and with tumor-like formations on the vessels (hemangiomas).

Symptomatic manifestations and diagram of therapy in the children's age period is practically no different from the adult. Surgical manipulations on the treatment of blepharoptosis in babies are made after the achievement of three years and, subject to the introduction of common anesthesia. Until the three-year-old age in children, the formation of organs of vision and the operation does not have a logical meaning.

Diagnostic research

When contacting B. medical institution Regarding the developing deviation, the patient is sent to a number of research procedures:

• to measure the length of the upper eyelid in the vertical plane;
• determination of the total tone of muscles;
• assessment of symmetry of skin folds in the process of blinking;
• mandatory consultation of a neuropathologist;
• electromiography - for a versatile assessment of musculosk potential bioelectric indicators;
• x-ray image of the field of the eye;
• study by ultrasound eye area;
• MRI brain departments;
• identification of the existing degree of space;
• check binocular vision;
• - determination of the optical features of the organs of vision;
• perimetric diagnostics;
• determining the level of the eye convergence - the level of information of the visual axes at the time of consideration of the closely located subject.

After diagnostic measures, the attending physician puts the final diagnosis and introduces the total received clinical picture Diseases in the patient card. Specialist prescribes the necessary treatment regimen based on the data obtained and general status organism.

Treatment of PTOs

The main method of correcting the pathological condition is the surgical intervention. Operational correction of the affected area is performed under the influence of local painkillers medicinesCommon anesthesia is used in the children's age period.

The total duration of manipulation is about one and a half hours, therapy is in the standard scheme:

• on the site of the upper century, a small segment of the skin is removed;
• the cutting of the head of the orphanage;
• the separation of the aponeurosis responsible for raising the upper eyelid;
• the damaged part of the aponeurosis is excised;
• the remaining area is laid to the lower verge of century;
• over the suture material overlays;
• a wound surface is treated with a sterile bandage.

Surgical intervention is permitted to execute after the treatment of pathology, which is the root cause of the development of PTOs.

Often appointed PTOS treatment options include:

• the use of electrophoresis;
• local impact of UHF therapy;
• myostimulation;
• galvanotherapy;
• laser therapy;
• fixation of the damaged century by plaster.

Injection therapy

The latter of the development of the suppression of blepharopt symptoms is considered to be the use of injecting introduction of drugs containing botulinum-toxins:

• "Distports";
• "Lantoks";
• "Botox".

Their spectrum of exposure is aimed at forced relaxation of muscle fibers responsible for the lowering of the century. The field of view comes to normal after the procedure is performed.

Before manipulation, a specialist conducts a collection of anamnestic data:

• occurring traumatization;
• chronic or inflammatory diseases;
• all types of drugs taken;
• a tendency to the emergence of spontaneous allergic reactions;
• healthy factor - how many family members suffered from similar ailments.

With the complete absence of contraindications, after finding out the factors that influenced the appearance of the disease, and the appointment of a full-fledged treatment regimen, initial preparations for the procedure occurs. In the preoperative period, the patient signs consent to the proposed version of therapy, its comprehensive informs about the selected methodology.

Required concentration level medication Determined by the doctor with a visual inspection of a damaged area. Subcutaneous and intradermal types of injecting administration are made by insulin syringes. Before carrying out the manipulation, the operational field is processed by antiseptics, the places of future punctures are scheduled.

The total duration of manipulation is five minutes, painful sensations Hardly ever. At the end of the procedure, the injection site is secondally processed by disinfecting drugs, and fearful half an hour is under the supervision of the attending physician.

At the end of the manipulation measures, the patient is repeatedly voiced by the postoperative rules:

• during the first four hours, it is exclusively in a vertical position;
• it is forbidden to make slopes and raise heavy things;
• it is not recommended to touch and knead the place of injection;
• it is prohibited to use alcoholic, low alcohol drinks;
• it is impossible to affect the locations of the punctures with high temperatures - under the prohibition there are all warming and gulling bandages, compresses;
• it is strictly prohibited to visit the saunas, baths and steam rooms - to avoid the destruction of the positive effect.

Restrictions apply for a week. The desired result is registered in two weeks from the moment of manipulation and is held throughout the first half of the year, with a gradual weakening. Therapeutic effects "Botox" is a real substitute for surgery with a partial or incomplete form of ptosis of the upper eyelid.

Home therapy

An independent elimination of the pathological condition is auxiliary primary stages Development of deviation. To suppress the cosmetic defect, use is recommended:

• specialized compresses;
• masks;
• gymnastic exercises - to strengthen the muscles of the facial department.

In the absence of the desired result, the patient requires a doctor consultation and further treatment in the hospital.

Gymnastics from PTOS - helps strengthen the relaxed muscles and includes the periodic execution of certain exercises:

1. Circular motions are performed widely open eyes - a thorough inspection of surrounding items is made. Without closing the eye, attempts are held to climb. Repeat technology is held several times in a row.
2. Maximum eye disclosure and holding them in this position for 10 seconds. The following is tight closure, with muscle tension, for 10 seconds. A total of six repetitions.
3. In the area of \u200b\u200bthe eyebrows are placed index fingers. After easy pressing, their reduction is carried out, without the formation of wrinkled folds. Perform stage should be performed before the appearance of painful sensations in the muscles.
4. The eye massage of the eyebrow by the index finger, by stroking and the non-sustaining pressure.

Muscular gymnastics allows you to pull up weakened facial muscles. Manipulations are prohibited in infectious and inflammatory processes affecting the regions of the upper eyelid.

Medicinal cream – refer to the most simplified means for treating PTOS. Pharmaceutical and cosmetic companies make a sufficient amount of creams with a pull-up effect.

The effectiveness of exposure depends on the degree of lesion - in the initial phases of the means produce a positive effect - subject to daily use. At the end of the cosmetic procedures, all efficiency will quickly disappear and the state will return to the initial one.

Preventive actions

To prevent secondary or primary ptosis formation, experts recommend to patients to change the usual lifestyle:

• review the principles of daily ration - use food enriched with necessary vitamins and minerals;
• eliminate alcoholic, low alcohol drinks;
• conduct treatment with chronic nicotine and narcotic dependence;
• regularly play sports - daily hiking in forest parking areas, training, gymnastics, swimming;
• stabilization of the schedule of recreation and labor mode - night sleep should be at least eight hours, go to bed and get up is necessary at the same time.

As preventive measures of impact in old age, it is recommended:

• regularly undergo preventive inspections from an ophthalmologist;
• timely to treat eye diseases;
• periodically attend consultation of the neurologist.

Therapy of changes arising from the influence of the organism aging is impossible at home. To suppress negative symptoms, contact the precinct clinic, pass all the necessary analyzes and obtain a symptomatic treatment scheme.

Ptosis is a disease that requires timely appeal to medical help. With the struck form of pathological deviation (above the second stage), the only treatment option will be mandatory surgical intervention. Ignoring primary signs of the disease will allow the rapid progression of the ailment.