This article is more than 5 years old. Information may no longer be current.
Multiple types of ptosis, as well as masqueraders, should be considered when diagnosing cases
Click Here to Manage Email Alerts
SAN FRANCISCO — Physicians should check for symptoms attributed to specific ptosis types for accurate diagnosis, a clinician said.
"I think that the most efficient way to look at ptosis is to figure out, first of all, if you really have ptosis," Steven E. Feldon, MD, MBA, said here at the joint meeting of the American Academy of Ophthalmology and the Pan-American Association of Ophthalmology.
Physicians should be on the lookout for potential masqueraders, such as dermatochalasis, brow ptosis or enophthalmos, Dr. Feldon said.
He said physicians should also determine if a case is unilateral or bilateral. They should then determine if the case is isolated or involves other parts of the visual system, and if it is constant or variable.
When checking for neurogenic ptosis, cases should be examined for pupil and motility involvement, lid position variability, and history of intracranial trauma or disease, Dr. Feldon said. For local/involutional ptosis, physicians should look for proptosis, palpable masses, lid position stability and any history of facial trauma.