Acquired blepharoptosis

A review is given of the aetiology and possible treatment of acquired (non-congenital) blepharoptosis, which is a common but not specific sign of neurological disease. The diagnostic categories of upper eyelid drooping are scheduled as (a) pseudo-ptosis due to a local process or overactivity of eye...

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Bibliographic Details
Published in:Clinical Neurology and Neurosurgery 1996-02, Vol.98 (1), p.1-7
Main Author: Oosterhuis, H.J.G.H.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blepharoptosis
Blepharoptosis - diagnosis
Blepharoptosis - physiopathology
Diagnosis, Differential
Diseases of eyelid, conjunctiva and lacrimal tracts
Eyelid drooping
Eyelids - physiopathology
Horner Syndrome - diagnosis
Horner Syndrome - physiopathology
Horner's syndrome
Humans
Medical sciences
Meige Syndrome - diagnosis
Meige Syndrome - physiopathology
Meige's syndrome
Myasthenia gravis
Myasthenia Gravis - diagnosis
Myotonia - diagnosis
Myotonia - physiopathology
Ocular myopathy
Ophthalmology
Pseudo-ptosis
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Summary:A review is given of the aetiology and possible treatment of acquired (non-congenital) blepharoptosis, which is a common but not specific sign of neurological disease. The diagnostic categories of upper eyelid drooping are scheduled as (a) pseudo-ptosis due to a local process or overactivity of eye closure, including blepharospasm, and (b) true ptosis due to a paresis of the eyelid levators (m. tarsalis superior or m. levator palpabrae) or to a disinsertion of the m. levator palpebrae (aponeurotic ptosis0. A paresis of the m. tarsalis is due to a lesion in the central, intermediate or peripheral neuron of the sympathetic chain and constitutes one of the components of Horner's syndrome. A paresis of the m. levator palpebrae may be due to a failure in central innervation, in oculomotor (n.III) function, in neuromuscular transmission or to a lesion in the muscle itself.
ISSN:0303-8467
1872-6968
DOI:10.1016/0303-8467(95)00087-9