Thank you for your response. These are all good signs. You most likely just have levator dehiscence.
In cases of levator dehiscence ptosis, the tendon of the muscle that lifts the eyelid (the levator palpebrae) may loosen or detach from its point of insertion. As a result, the muscle’s natural effect is weakened. The risk of this type of ptosis increases with age, although cases of trauma, prior eye surgery
, and contact lens
use may also result in levator dehiscence. However, these causes do not apply to you. When this problem occurs, surgery can be performed to re-attach this tendon or to shorten this muscle to increase its strength. This surgery is generally performed under local anesthetic, except in children, and carries an excellent success rate.
Since you have not had trauma or previous eye surgery you may have congenital ptosis. Congenital ptosis is usually due to a developmental problem with the levator muscle. This problem is generally present from birth, although it may be diagnosed slightly later in life.
Lastly, you may have have a situation that is not even ptosis but presents as such. Excess skin around the eyelids (dermatochalasis) and drooping of the eyebrows (brow ptosis) can give the appearance of a droopy lid.
Although any of these cases are possible- the worrisome causes that I mentioned earlier need to be evaluated and ruled out. Sometimes there are pupillary abnormalities that are asymptomatic and can only be detected by a trained specialist. For this reason, I ask you to see an oculoplastic
surgeon whom can do a thorough evaluation on you and offer your treatment.
Best of luck!