
Einführung
Drooping of eyelids, due to pathological reasons is called ptosis which happens because of trauma, age, or various medical disorders. This condition is called unilateral ptosis when it affects one eye and bilateral ptosis when it affects both eyes. It may come and go or it might be permanent. It can be present at birth, where it’s known as congenital ptosis, or it can be developed later in life, which is known as acquired ptosis.
Depending on the severity of the condition, droopy upper eyelids can block or greatly reduce vision depending on how much it obstructs the pupil. In most cases, the condition will resolve, either naturally or through medical intervention.
Anzeichen und Symptome
One or both upper eyelids sag. In some cases, this can affect the vision.
Dry eyes or watery eyes
Tired look on face
Ache around eyes
Verursacht
It can be congenital due to defective development of levator muscles or the condition can be acquired.
As a result of a nerve injury or a temporary stye.
Eyelid tumours, cysts, or swelling.
Complication of LASIK or cataract surgery.
Serious conditions like stroke, brain tumour, or cancer.
Neuro-muscular diseases like myasthenia gravis
Botox injections.
Horner’s syndrome.
Pathophysiologie
Ptosis is the result of dysfunction of one or both upper eyelid elevator muscles. These elevator muscles are the levator palpebrae superioris and the Mueller muscle.
The levator palpebrae superioris is a striated muscle innervated by the superior division of the oculomotor nerve (cranial nerve III). This muscle is about 40 mm long and originates from the lesser wing of the sphenoid. It continues anteriorly, and at the Whitnall ligament, it travels inferiorly as an aponeurosis. The aponeurosis is 14-20 mm long and inserts into the anterior aspect of the tarsal plate. It also sends attachments to the skin, forming the upper eyelid crease. The levator muscle and aponeurosis is the major elevator of the upper eyelid.
The Mueller muscle, a sympathetically innervated smooth muscle, originates from the undersurface of the levator superioris. Approximately 12 mm long, it inserts superiorly on the tarsal border and elevates the upper eyelid by approximately 2 mm.
Diagnose
Körperliche Untersuchung
Medical history
Eye examination using a slit lamp
Tensilon test
Behandlungen
The treatment for droopy eyelid depends on the underlying cause and the severity.
Plastic surgery is the only option in senile and congenital ptosis.
Underlying medical conditions, if any, should be managed for the cure of associated ptosis.
Glasses that can hold the eyelid up, called a ptosis crutch, are another option. This treatment is often most effective when the droopy eyelid is only temporary. Surgery for ptosis includes the tightening of the levator muscle. This will lift the eyelid up into the desired position.
Another alternative is a “sling” operation, in which the forehead muscles are used to elevate the eyelids.
Ptosis crutch – A nonsurgical option that involves adding an attachment to the frames of the glasses. This attachment, or crutch, prevents drooping by holding the eyelid in place.
There are two types of ptosis crutches: adjustable and reinforced. Adjustable crutches are attached to one side of the frames, while reinforced crutches are attached to both sides of the frames.
Prognose
Eyelid drooping is not a fatal or harmful condition to the general health. However, if vision is affected, treatment is needed.
The long-term outlook will depend on the cause of the droopy eyelid. Most of the time, the condition is just a cosmetic issue.
However droopy eyelids can sometimes be a sign of a serious disease, proper diagnosis is recommended.
Komplikationen
Severe ptosis can cause amblyopia (lazy eye) or astigmatism. It is important to treat at a younger age, if left untreated, it could affect vision development.
Krankheit & Ayurveda
Vaatahatavarthma
Nidana
Causative factors for eye diseases vitiate mostly Pitta dosha in the body namely,
- Ushnabhitaptasya jalapraveshaath – entering into waterbody or taking bath in cold water after exposure to heat/sun
- Doorekshanaath – Looking at distant objects
- Swapnaviparyaya – Unhealthy & irregular sleeping habits
- Prasaktasamrodhanasokakopa – excess or suppressed weeping & anger
- Klesabhigata – Physical exertion, or trauma
- Atimaithuna – Excess coitus
- Atinishevana of Sukta etc. – taking beverages of acidic nature, horse gram, and black gram
- Vegavinigraha -Voluntary suppression of any natural urges like cough, sneeze, urine, flatulence or faeces
- Swedarajodhoomanishevana – Excess sweating, exposure to dust & smoke
- Chardervighaataad – Suppression of vomiting
- Vamanaatiyoga – Excessive vomiting
- Baashpagrahaat – Suppression of tears
- Sookshmanireekshana – looking at small things
Purvaaroopa
Not specifically mentioned
Samprapti
Causative factors cause vitiation of doshas which travel through siras (circulatory system) and reach eyes causing the disease.
Lakshana
Not able to open eyes because of droopy eyelids
Abteilungen
Nicht erwähnt
Prognose
Asaadhya – No treatment/Incurable
Chikithsa
Samana
Sodhana
Häufig verwendete Arzneimittel
Thriphala choorna+/-ghee
Dhanwantharam Kashayam
Drakshadi Kashayam
Jeevanthyadi ghrutam
Verfügbare Marken
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Hausmittel
There is no effective home remedy for ptosis.
But the following preventive measures can be helpful in the protection of eye from diseases:
- Ensure enough intake of anti-oxidants and vitamins
- Control any allergic reactions
- Wear UV-blocking sunglasses while going out
- Keep the eyes and eye wares hygienic
- Avoid scratching or rubbing of eyes
- Use artificial tears to prevent dryness
- Zu vermeiden sind
Any hard item, tough to bite or chew.
Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.
Junk foods- cause a disturbance in digestion and reduces the bioavailability of the medicine
Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung
Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)
Milk and milk products – increase Kapha and cause respiratory problems
Quark - verursacht Vidaaha und damit viele andere Krankheiten
- Noch zu ergänzen
Leichte Mahlzeiten und leicht verdauliche Lebensmittel
Green gram, soups, honey, fruits and vegetables, cow’s ghee.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain, etc
Behavior:
Protect yourself from too much heat or cold.
Avoid head bath and tongue scraping.
Better to avoid exposure to excessive sunlight, wind, rain, or dust.
Halten Sie einen regelmäßigen Essens- und Schlafplan ein.
Avoid stress.
Avoid holding or forcing urges like urine, faeces, cough, sneeze, etc.
Avoid sleeping late night and day sleep.
Yoga
- IN PERSONS WITH SEVERE INFLAMMATORY DISEASES AND EYE DISEASES, EXERCISE IS NOT RECOMMENDED
Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.
Nadisudhi Pranayama
Suryanamaskara
Bhujangasana
Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.
Forschungsartikel
https://pubmed.ncbi.nlm.nih.gov/12925861/
Diese Aussagen wurden nicht von der Food and Drug Administration der Vereinigten Staaten bewertet. Dieses Produkt ist nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Bitte konsultieren Sie Ihren Hausarzt vor der Einnahme.

Autorin:
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Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.
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