1.14 Ptosis, Involutional
- eyes.nhs.scot/
- Eyecare Guidelines/
- Section 1 - Eyelids/
- 1.14 Ptosis, Involutional
- 1.1 Basal Cell Carcinoma, Periocular
- 1.2 Blepharitis, Anterior and Posterior
- 1.3 Chalazion (Meibomian Cyst)
- 1.4 Dermatochalasis
- 1.5 Ectropion
- 1.6 Entropion
- 1.7 Facial Palsy (Bell's Palsy)
- 1.8 Hordeolum (Stye)
- 1.9 Horner’s Syndrome (Oculosympathetic Palsy)
- 1.10 Molluscum Contagiosum
- 1.11 Ocular Rosacea
- 1.12 Penetrating Injury, Eyelid
- 1.13 Phthiriasis (Pediculosis Ciliaris/Crabs)
- 1.14 Ptosis, Involutional
- 1.15 Third Nerve Palsy, Ptosis
- 1.16 Trichiasis
Date of last review: Due to be updated
Differential diagnosis
- Myasthenia gravis
- Congenital ptosis
- Neurogenic ptosis (palsy)
- Angioedema (mechanical ptosis)
- Horner’s syndrome
- Jaw-winking syndrome
Possible management by Optometrist
Treatment
- None
Advice
- Surgery available if visual axis obscured, field loss, or significant asymmetry
Management Category
- Refer if visual axis obscured, field loss, or significant asymmetry
Possible management by Ophthalmologist
- Surgery if significant ptosis
Disclaimers
CEG disclaimer for guidelines awaiting update:
The Eyecare Guidelines area of the eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical decision support and is intended for use by ophthalmic healthcare professionals working in Scotland.
As such, the Eyecare Guidelines are not intended for use by the general public and do not replace the advice of a healthcare professional. Members of the public should seek advice directly from their optometrist.
Before reading the Eyecare Guidelines or making any management decisions based upon them, all users should read the ‘supporting information’ page which gives more detail around the content of the Guidelines and useful website links [link to Supporting Information page].
Users should note that that the Eyecare Guidelines guidance is not mandatory. The guidelines will not be suitable for every situation, and they are not intended to be a substitute for specialist expertise and clinical judgement. Users assume all responsibility for using/interpreting the information within the Eyecare Guidelines section of the website. Users should also note that the Eyecare Guidelines should not be adhered to in isolation and should be considered in conjunction with other national and locally available guidance/pathways.
Users should note that Guidelines which have not yet been updated should be considered with caution. Where the Eyecare Guidelines contain links to other sites and/or resources provided by third parties, these links are provided for information only.
Accordingly, to the maximum extent permitted by law, the Eyecare Guidelines are made available on the basis of excluding all representations, warranties, conditions and other terms (including, without limitation, the conditions implied by law of satisfactory quality, fitness for purpose and the use of reasonable care and skill) which, but for this disclaimer, might have effect in relation to the Eyecare Guidelines.
CEG disclaimer for updated guidelines:
The Eyecare Guidelines area of the eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical decision support and is intended for use by ophthalmic healthcare professionals working in Scotland.
As such, the Eyecare Guidelines are not intended for use by the general public and do not replace the advice of a healthcare professional. Members of the public should seek advice directly from their optometrist.
Before reading the Eyecare Guidelines or making any management decisions based upon them, all users should read the ‘supporting information’ page which gives more detail around the content of the Guidelines and useful website links [link to Supporting Information page].
Users should note that that the Eyecare Guidelines guidance is not mandatory. The guidelines will not be suitable for every situation and they are not intended to be a substitute for specialist expertise and clinical judgement. Users assume all responsibility for using/interpreting the information within the Eyecare Guidelines section of the website. Users should also note that the Eyecare Guidelines should not be adhered to in isolation and should be considered in conjunction with other national and locally available guidance/pathways.
Updating the Eyecare Guidelines requires a continuous process; the date of the last review for each guideline will be clearly noted on each guideline. Users must consider these dates before using the guidance.
While the Common Services Agency (“NSS”) makes reasonable efforts to ensure that the information on the Eyecare Guidelines area of the Website is correct, the Website is provided ‘as is’ and NSS does not warrant the accuracy and completeness of the material on the Website. NSS may make changes to the Website at any time without notice. Some of the material on the Website may be out of date, and NSS makes no commitment to update such material. Users should note that some Eyecare Guidelines on the Website have not been updated for several years and should be considered with caution.
Where the Eyecare Guidelines section of the Website contains links to other sites and or resources provided by third parties, these links are provided for information only. NSS has no control over, and no liability in respect of, the content of these sites and resources.
Accordingly, to the maximum extent permitted by law, the Eyecare Guidelines area of the Website is made available by NSS on the basis that NSS excludes all representations, warranties, conditions and other terms (including, without limitation, the conditions implied by law of satisfactory quality, fitness for purpose and the use of reasonable care and skill) which, but for this disclaimer, might have effect in relation to the Website.