Correcting Ptosis

If you or someone you know has been diagnosed with acquired ptosis, also known as drooping eyelids, you might be exploring ways to treat this condition. Ptosis not only affects your appearance but can also impair your vision and quality of life. Fortunately, there are effective treatments available that can help restore both function and aesthetics to your eyelids. In this post, we will dive into the various options for treating ptosis, focusing primarily on options for acquired ptosis.

Understanding Acquired Ptosis

Acquired ptosis occurs when the muscles that lift the eyelid, mainly the levator muscle, become weakened or damaged due to aging, injury, or certain medical conditions. Unlike congenital ptosis, which is present from birth, acquired ptosis develops later in life and can progressively worsen. Ptosis may also be related to more serious conditions such as stroke and/or brain aneurysm, Horner syndrome, myasthenia gravis, loss of the ability to move eye muscles, eye infection and eye tumors. Tell your doctor if you have, or suspect, any of these conditions and seek immediate treatment.

Non-Surgical Treatments for Acquired Ptosis

Prescription Eyedrops: In some cases, especially when acquired ptosis is mild, doctors might recommend specific medications, such as eye drops, that can stimulate the eyelid muscles. These medications can temporarily improve eyelid height and are often used when surgery is not a good option.
Eye Exercises: Although not a primary treatment for severe ptosis, eye exercises might be recommended by some specialists to strengthen the muscles around the eyes. These exercises are generally more supportive in nature and can complement other treatments.

Surgical Treatments

For some patients, surgery may be an effective method for correcting ptosis and is more likely to be recommended when the condition significantly interferes with vision or leads to other complications such as severe eye strain or headaches.

Levator Aponeurosis Repair: This is the most common surgical procedure for correcting ptosis. The surgery involves tightening the levator muscle that lifts the eyelid. This procedure is typically performed under local anesthesia and can significantly improve eyelid height and function.
Müller’s Muscle Conjunctival Resection (MMCR): For cases where the levator muscle is functioning moderately well, a procedure called MMCR might be used. This surgery tightens another muscle responsible for eyelid elevation, the Müller’s muscle, and is less invasive than levator surgery.
Frontalis Sling Operation: In severe cases where the levator muscle is extremely weak, a frontalis sling operation may be necessary. This procedure involves connecting the eyelid to the eyebrow muscle (frontalis) with a small sling, which the patient can then use to lift the eyelid manually. This is particularly useful in cases where traditional lifting methods are not viable.

Lifestyle Adjustments

In addition to medical treatments, making some lifestyle adjustments can also help manage ptosis:

Protect your eyes: Wearing sunglasses to protect the eyes from UV rays and debris can prevent further irritation or damage.
Maintain good eye hygiene: Regularly cleaning your eyelids to remove any buildup can also prevent additional complications.
Use appropriate lighting: Adequate lighting can reduce eye strain for those with partial vision obstruction due to ptosis.

Treating ptosis can have positive impacts on visual function, eye appearance, and quality of life (depending on the ptosis severity). If you suspect you have ptosis, it’s important to consult with an eyecare provider (or eye doctor) or a specialist in oculoplastic surgery to discuss the best treatment options for your specific condition.

Remember, the goal of ptosis treatment is not only to restore normal eyelid function and appearance but also to identify any underlying conditions that may be contributing to the issue. With the right treatment plan, patients with acquired ptosis may look forward to improved vision and a rejuvenated eye appearance.

Get started with Upneeq

Upneeq is the only FDA-approved, prescription eye drop that lifts low-lying eyelids (acquired ptosis). Find out if Upneeq’s eye-opening benefits are right for you.

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IMPORTANT SAFETY INFORMATION

What is UPNEEQ?

UPNEEQ® (oxymetazoline hydrochloride ophthalmic solution), 0.1% is a prescription eyedrop used to treat acquired blepharoptosis (low-lying lids) in adults.

What warnings and precautions are associated with UPNEEQ?

Low-lying lids may be related to conditions such as stroke and/or brain aneurysm, Horner syndrome, myasthenia gravis, loss of the ability to move eye muscles, eye infection and eye tumors. Tell your doctor if you have any of these conditions.
UPNEEQ is a type of medication that may affect your blood pressure. If you have heart disease, uncontrolled high or low blood pressure, or feel faint at rest or when quickly standing up, you should call your doctor if your symptoms get worse.
Patients with reduced blood flow to the brain or heart, or patients who experience eye or mouth dryness due to an immune system disorder (Sjögren’s syndrome), should use care when taking UPNEEQ. Call your doctor immediately if you feel your symptoms may be getting worse.
UPNEEQ may increase the risk of eye pressure due to fluid buildup (angle-closure glaucoma) in patients with untreated narrow-angle glaucoma. Call your doctor immediately if you feel increased pressure in your eye after using UPNEEQ.
Do not let the tip of the UPNEEQ vial touch your eye or any other surface. This can help prevent eye injury or contamination. Each UPNEEQ vial is for one-time use and should be discarded after being used.

What are the most common side effects of UPNEEQ?

The most common adverse reactions with UPNEEQ (occurring in 1-5% of patients) were eye inflammation, eye redness, dry eye, blurred vision, eye pain at time of use, eye irritation, and headache.

What should my doctor know about before prescribing me UPNEEQ?

Your doctor should review your full medical history before prescribing UPNEEQ.
UPNEEQ belongs to a class of medication (alpha-adrenergic agonists) that may affect your blood pressure. Use UPNEEQ carefully if you currently take an alpha-adrenergic agonist medication to treat heart disease or an enlarged prostate. Patients taking beta-blockers, or other medications to treat hypertension or an abnormal heartbeat, should also be careful when using UPNEEQ.
Patients who use a certain class of antidepressant medication (monoamine oxidase inhibitors) should also be careful when using UPNEEQ, as it may affect the way your body absorbs the medication.

These are not all of the possible side effects of UPNEEQ. Tell your doctor if you have any side effect that bothers you or does not go away. Call your doctor for medical advice about side effects.
To report side effects or product complaints, contact RVL Pharmaceuticals at 1-877-482-3788. You may also report side effects to the FDA by calling 1-800-FDA-1088 or visit www.fda.gov/medwatch.
This is a summary of the most important safety information for UPNEEQ. For more in-depth safety information, please review the full Prescribing Information for UPNEEQ.