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</noscript></div><div class="main"><div id="ency_summary"><p>Ptosis (eyelid drooping) in infants and children is when the upper eyelid is lower than it should be. This may occur in one or both eyes. Eyelid drooping that occurs at birth or within the first year is called congenital ptosis.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Ptosis in infants and children is often due to a problem with the muscle that raises the eyelid. A nerve problem in the eyelid can also cause it to droop.</p><p>Ptosis may also occur due to other conditions. Some of these include:</p><ul><li>Trauma at birth (such as from the use of forceps)</li><li>Eye movement disorders</li><li>Brain and nervous system problems</li><li>Eyelid tumors or growths</li></ul><p>Eyelid drooping that occurs later in <a test="test" href="./001018.htm">childhood or adulthood</a> may have other causes.</p><p>SYMPTOMS</p><p>Children with ptosis may tip their head back to see. They may raise their eyebrows to try to move the eyelid up. You may notice:</p><ul><li>Drooping of one or both eyelids</li><li><a test="test" href="./003036.htm">Increased tearing</a></li><li>Blocked vision (from severe eyelid drooping)</li></ul><p>EXAMS AND TESTS</p><p>The health care provider will do a <a test="test" href="./002274.htm">physical exam</a> to determine the cause.</p><p>The provider also may do certain tests:</p><ul><li><a test="test" href="./003880.htm">Slit-lamp examination</a></li><li>Ocular motility (eye movement) test</li><li><a test="test" href="./003879.htm">Visual field testing</a></li></ul><p>Other tests may be done to check for diseases or illnesses that may be causing ptosis.</p><p>TREATMENT</p><p>Eyelid lift surgery can repair drooping upper eyelids. </p><ul><li>If vision is not affected, surgery can wait until age 3 to 4 when the child has grown a little bigger.</li><li>In severe cases, surgery is needed right away to prevent <a test="test" href="./001014.htm">"lazy eye" (amblyopia)</a>.</li></ul><p>The provider will also treat any eye problems from ptosis. Your child may need to:</p><ul><li>Wear an eye patch to strengthen vision in the weaker eye.</li><li>Wear special glasses to correct an uneven curve of the cornea that causes blurred vision (<a test="test" href="./001015.htm">astigmatism</a>).</li></ul><p>Children with mild ptosis should have regular eye exams to make sure amblyopia does not develop.</p><p>Surgery often works well to improve the look and function of the eye. Some children need more than one surgery.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Contact your provider if:</p><ul><li>You notice your child has a drooping eyelid</li><li>One eyelid suddenly droops or closes</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Blepharoptosis - children; Congenital ptosis; Eyelid drooping - children; Eyelid drooping - amblyopia; Eyelid drooping - astigmatism</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1111t.jpg" alt="Ptosis - drooping of the eyelid" title="Ptosis - drooping of the eyelid" class="side-img"/><a href="../imagepages/1111.htm">Ptosis - drooping of the eyelid</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Bass N. Hypotonia and neuromuscular disease in the neonate. In: Martin RJ, Fanaroff AA, Walsh MC, eds. <em>Fanaroff and Martin's Neonatal-Perinatal Medicine</em>. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 56.</p><p>Olitsky SE, Marsh JD. Abnormalities of the lids. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics</em>. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 642.</p><p>Pavone P, Cho SY, Praticò AD, Falsaperla R, Ruggieri M, Jin DK. Ptosis in childhood: A clinical sign of several disorders: Case series reports and literature review. <em>Medicine (Baltimore)</em>. 2018;97(36):e12124. PMID: 30200099 <a href="https://pubmed.ncbi.nlm.nih.gov/30200099/" target="_blank">pubmed.ncbi.nlm.nih.gov/30200099/</a>.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 2/12/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. </p>
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