A complete guide to understanding drooping eyelid (blepharoptosis) — causes, symptoms, types, and the options available to manage it without surgery.
Ptosis (pronounced "TOE-sis"), medically known as blepharoptosis, is the drooping or falling of one or both upper eyelids below their normal position. In severe cases, the drooping eyelid can partially or completely cover the pupil, restricting vision.
The condition affects people of all ages — from newborns with congenital ptosis to elderly individuals whose eyelid muscles weaken over time. Ptosis can affect one eye (unilateral) or both eyes (bilateral).
"Ptosis is not merely a cosmetic concern — it can significantly impact daily vision, quality of life, and in children, normal visual development."
While ptosis may appear similar to heavy or hooded eyelids, it is a distinct condition involving the eyelid's lifting mechanism — not simply excess skin. An eye care professional can differentiate between the two.
Please note: If you notice sudden eyelid drooping — especially alongside double vision, facial weakness, or headache — please seek medical attention promptly, as this can sometimes indicate an underlying condition that needs professional assessment. This guide covers stable, ongoing ptosis.
Ptosis presents differently depending on severity and cause. Common signs include:
Ptosis has several distinct causes depending on which part of the eyelid mechanism is affected — the muscle, the nerve supply, or the skin.
The most common cause in adults. The eyelid's lifting mechanism weakens or stretches gradually over time — often simply a natural part of ageing. This type tends to develop slowly and may affect one or both eyes.
In some cases, the nerves that control eyelid movement are affected by other conditions, which can lead to drooping as a secondary effect. An eye care professional can identify whether this is the case.
Heavy eyelid tissue pulling the lid down — from tumours, cysts, or excess skin (dermatochalasis). The eyelid muscle itself may be normal in these cases.
Injury to the eyelid, orbital area or surrounding nerves. Can follow eye surgery (including cataract surgery), accidents or lacerations.
Present from birth, where the eyelid's lifting mechanism did not fully develop. May affect one or both eyes. Children with ptosis present from birth should be seen by an eye care professional to monitor vision development.
The most common type in older adults — where the eyelid-lifting mechanism gradually stretches or loosens through decades of everyday use. Often described as "wear and tear" on the eyelid. Tends to worsen slowly over years.
Ptosis is typically assessed by an eye care professional — such as an optometrist or ophthalmologist — who can confirm the degree of drooping, identify the likely cause, and advise on next steps. From our experience as eyewear specialists working with ptosis customers, the assessment generally looks at four main things.
How far the eyelid has fallen below its normal position — from a slight droop to covering the pupil. This gives a picture of current severity and helps determine which options may assist.
How well the eyelid can still open and close on its own. This helps eye care professionals understand which approach — eyewear, other non-surgical options, or referral — is most appropriate.
Whether the drooping is obstructing useful vision, particularly looking upward. Some people have noticeable drooping with limited vision impact; others are more significantly affected in daily life.
Whether the ptosis is age-related, present from birth, following an injury or procedure, or linked to another condition — as this shapes which approach makes most sense for that individual.
We are a specialist eyewear company — not a clinical practice. If you have not yet had a professional assessment for your ptosis, we recommend doing so before ordering glasses, as it helps ensure you are making the right choice for your specific situation.
People living with ptosis have several approaches available to them. Some are non-surgical; others involve a procedure. The right approach depends on the individual — their type of ptosis, severity, age, and personal preferences. Your eye care professional is best placed to advise on what suits your specific situation. This table is provided as a general overview only.
| Approach | Who It May Suit | Non-Surgical? | Ongoing Cost |
|---|---|---|---|
| Ptosis Crutch Glasses | Mild to moderate ptosis, people preferring a non-surgical option, those awaiting further assessment | Yes | One-time |
| Eyelid Tape / Putty | Very mild drooping, short-term use, trialling before other approaches | Yes | Recurring |
| Surgical Correction | Those for whom surgery has been recommended by their ophthalmologist | No | High (one-time) |
| Managing an Underlying Condition | Where ptosis is secondary to another condition being managed by a doctor | Varies | Varies |
| Monitoring Only | Very mild ptosis with no functional impact on vision | Yes | Nil |
About ARTView ptosis glasses: We specialise in ptosis support eyewear — frames fitted with a small adjustable crutch that helps keep the eyelid open during the day. They are one non-surgical option worth considering, particularly for mild to moderate ptosis. They do not replace professional advice and are not suitable for every type or severity of ptosis.