Patients often report that their vision is better by manually elevating the eyelid margin with their fingertips. When a drooping eyelid affects the vision, it can be repaired. In adults, the usual cause of a drooping eyelid, or ptosis, is a broken muscle tendon in the eyelid.
Children can be born with or develop ptosis at a young age, giving them asymmetrical or low-set eyelids. In some cases, visual development can be impaired due to ptosis in children. An eye examination is necessary early in life when children have congenital ptosis. Children with congenital ptosis need to be monitored and vision assessed during the first years in life. If the vision is not affected, congenital ptosis repair is usually planned between 3 and 5 years of age.