How do you adjust a ptosis crutch?

The ptosis crutch arm is adjusted by gently bending the wire to change the height and angle at which the tip contacts the upper eyelid. Small movements are sufficient — a 1–2mm change in tip position makes a noticeable difference. An optician can do this with standard frame adjustment tools, or it can be done carefully at home with guidance.

What does a correctly adjusted ptosis crutch feel like?

A correctly positioned crutch rests gently on the upper eyelid near the lash line. You should feel a light, even contact — not pressure or pinching. Looking straight ahead, the eyelid should be held at a natural open height. You should be able to blink freely, and the contact should feel consistent rather than variable as you move your eyes.

Can I adjust my ptosis crutch myself at home?

Yes, with care. The crutch arm can be adjusted at home by making small, careful bends. The key is to make incremental changes — a small movement at a time — rather than trying to make a large adjustment in one go. The ARTView team provides guidance via WhatsApp for buyers who want to adjust at home.

Ptosis Crutch Adjustment Guide | ARTView

Why Adjustment Matters

What the Adjustment Is Trying to Achieve

Every pair of ARTView ptosis crutch glasses arrives with the crutch arm set at a default position. This starting position is designed to be a reasonable fit for most users — but it is a starting point, not a finished fit. Because eyelid height, face anatomy, and ptosis pattern vary from person to person, most users benefit from at least a small adjustment to find their optimal position.

The goal of the adjustment is to bring the crutch tip to the position where it rests gently on the upper eyelid, just above the lash line, at a height that holds the lid open to a natural, comfortable position — without pushing it open too aggressively or sitting so low that it provides little effective support.

When the crutch is in the right position, the difference is immediately noticeable: the eyelid sits at a natural height, the contact feels gentle and even, and wearing the glasses feels like wearing glasses — not like wearing a specialist device. Getting there may take one small adjustment, or it may take two or three incremental refinements over the first week of wear.

Correct position

The crutch tip rests on the outer surface of the upper eyelid, just above the lash line. The eyelid is held at a comfortable natural open height — not fully maximally open, just at the normal position it would occupy if the levator muscle were working normally. Contact is gentle, consistent, and distributed across the tip rather than pressing at a point.

Too high

If the crutch tip is positioned too high, it pushes the eyelid further open than is natural. This can create a wide-eyed appearance and feel uncomfortable — a sensation of something pushing the lid upward rather than supporting it. The eye may also feel strained or dry more quickly. Lower the crutch tip to correct this.

Too low

If the crutch tip is positioned too low, it rests on the eyelid below the correct contact point — or misses it entirely, providing little useful support. The lid continues to droop to much the same degree as without the glasses, and the purpose of the crutch is defeated. Raise the crutch tip to correct this.

The Adjustment Process

How to Adjust the Ptosis Crutch — Step by Step

Whether you are asking an optician or doing it yourself, the adjustment follows the same basic process. Understanding each step helps whether you are doing it yourself or explaining what you need to an optician who may not have seen ptosis crutch glasses before.

Step 1 — Wear the glasses normally first

Before making any adjustment, wear the glasses for at least a few hours in their default position. This gives you a clear sense of where the crutch is currently sitting and what the experience is. Note whether the crutch tip feels too high, too low, or roughly right — and whether the eyelid is being held at a natural or an over-opened position.

Step 2 — Identify the adjustment needed

Based on your experience in Step 1, identify whether the crutch tip needs to move up (to provide more support), down (to reduce over-lift or pressure), forward (to make earlier contact with the eyelid), or backward (to reduce contact pressure). For most users, the first adjustment is simply upward or downward — a height correction.

Step 3 — Make a small bend

With the glasses off, hold the frame firmly and use your thumb to make a gentle, small bend to the crutch arm in the direction needed. A small movement — 1 to 2 millimetres of tip travel — is enough for a first adjustment. Do not try to make a large correction in a single bend; incremental adjustments give better results and reduce the risk of over-correcting.

Step 4 — Test the new position

Put the glasses back on and wear them for at least 30 minutes. Assess the new crutch position — is the eyelid now at a better height? Does the contact feel more comfortable? Is there still over-lift or under-support? Use this feedback to decide whether another small adjustment is needed.

Step 5 — Refine as needed

Repeat Steps 3 and 4 until the crutch is in the position that feels best for all-day wear. Most users need one to three adjustment cycles to reach their optimal position. Once there, the crutch should stay in that position for the life of the glasses under normal wear conditions.

For bilateral ptosis — adjust each side independently

If both eyelids are affected and both crutch arms are fitted, adjust each side independently. The left and right eyelids may require different crutch heights to achieve the same natural open position. Work on one side at a time — find the optimal position for one eye, then adjust the other.

If you are not confident adjusting at home, take your ARTView glasses to a local optician. Frame adjustment is routine work for any optician. Show them this page or the ARTView product details so they understand the crutch mechanism before they begin. The ARTView team is also available via WhatsApp to advise your optician directly if needed.

All ARTView Models Are Adjustable

Adjustable Ptosis Crutch Glasses — The Full Range

Every ARTView model features an adjustable crutch arm. Choose by frame shape and size — the adjustment process and capability are identical across all six models.

RejuvenEye

The most reviewed ARTView model. Adjustable crutch arm, excellent starting position for most users. Classic rectangle full frame.

View Details Buy Now ↗

ARTView Large Square

Generous lens depth provides excellent crutch adjustment range. A good choice for users who need significant upward adjustment from the default position.

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ElevateVision

Sleek full-frame profile with adjustable crutch. A good everyday option for users with mild to moderate ptosis who have identified their optimal crutch height.

View Details WhatsApp

View All 6 ARTView Models →

Troubleshooting Common Fit Issues

Adjustment Questions and Fit Problems

The crutch keeps moving back to its original position

This can happen if a single large bend was made rather than multiple small ones. A large bend in the wire creates tension that can cause it to spring back slightly over time. The solution is to make the adjustment in two or three smaller steps, each followed by a period of wear to assess the result, rather than one large correction.

The eyelid looks open but feels forced

This suggests the crutch is set too high — it is pushing the lid further than it naturally wants to go. Lower the crutch tip slightly. The goal is to hold the lid at a natural open position, not to maximise how high it goes. A small downward adjustment typically resolves this sensation quickly.

The glasses feel fine when I put them on but worse after a few hours

This usually indicates a nose bridge issue rather than a crutch position problem. If the frame slides down throughout the day, the crutch descends with it and the contact point changes. Check that the nose pads are positioned correctly to keep the frame stable at the right height throughout wear. See our comfort features guide for nose bridge guidance.

My optician has not seen ptosis crutch glasses before

This is common. Ptosis crutch frames are a specialist product. Show your optician the frame and explain that the wire arm on the inside of the upper rim needs to be gently bent to change the height at which the tip contacts the eyelid. Most opticians are comfortable making this adjustment once they understand the goal. The ARTView team can also provide technical guidance via WhatsApp that you can share with your optician.

I have bilateral ptosis — one side is now right but the other is not

This is entirely normal and expected. Left and right eyelids often droop to different degrees, and the optimal crutch height for each side may differ. Adjust each arm independently, treating each eyelid as its own fitting challenge. It is common for one side to require more adjustment than the other.

Can I break the crutch arm by adjusting too many times?

The crutch arm is designed to be adjusted and will tolerate careful repositioning. The risk is bending the same section of wire repeatedly in alternating directions — this creates fatigue in the metal that can eventually cause it to weaken at that point. The best practice is to adjust incrementally in one direction at a time, not back and forth repeatedly. If you are concerned about a crutch arm after multiple adjustments, contact the ARTView team.

Ptosis CrutchAdjustment Guide