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Ptosis

Ptosis is a pathological eye condition in which the eyelid falls or droops. It is a condition that can affect adults and children (although it is most common in the elderly) and the degree to which the eyelid droops can vary from barely noticeable to completely covering the pupil (the black spot in the middle of your eye that allows light to enter). Fortunately, there is treatment for the condition.

Symptoms and Signs of Ptosis

Ptosis can be identified by an abnormal drooping of one or both of the upper eyelids. When it only affects one lid, you can notice that the two lids are not in alignment. Often an individual with ptosis will tilt their head backward or raise their eyebrows to see more clearly, which can eventually result in headaches or neck issues. Sometimes when the eyelid droops below the pupil, it is accompanied by obscured vision or causes other eye and vision problems.

What Causes Ptosis?

In adults, ptosis is most frequently a condition related to aging when the muscles responsible for controlling the eyelid, called the levator muscles, become weakened. Ptosis can also be a result of an eye injury or an after-effect of certain types of eye surgery.

In children, ptosis can be a congenital condition in which the levator muscles do not develop properly. If not treated this can lead to problems with the development with the child’s visual system and may cause amblyopia (lazy eye), astigmatism or strabismus (crossed eyes).

Treatment for Ptosis

Prior to a treatment plan, your doctor will complete a comprehensive eye exam along with some other tests to determine the cause of the ptosis. While the treatment does depend on the cause of the condition, surgery to repair the eyelid function is the most common treatment.

The surgical procedure, called blepharoplasty, repairs the levator muscle of the eyelid or attaches the lid to other muscles that can lift the eye (such as the forehead). In mild cases, small adjustments might be made to repair the muscle while other times additional procedures might be done such as removing some of the skin from the lid. The surgeon will determine what needs to be done to tighten the levator muscles or otherwise return the eyelids to their normal position. As with any surgical procedure there are risks to this surgery and in the most serious cases, movement may not return fully or at all to the eyelids.

In children, surgery is usually recommended to avoid potential or existing vision problems. This may come along with additional treatment for amblyopia or strabismus to strengthen the weak eye such as wearing an eye patch, eyeglasses or using eye drops. Any child diagnosed with ptosis will need to have regular evaluations with an eye doctor to monitor the condition and the child’s vision.
If you suspect you or a loved one may have ptosis, try looking at some old pictures to see if there is a noticeable change and of course make an appointment with your eye doctor as soon as possible to assess if there is a problem.

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Dear Northwood Vision patient,

COVID-19 has the potential to cause grave harm to many of the citizens in our population. According to Harvard epidemiologist Dr. Mark Lipsitch it is likely that at least between 40-70 % of the population will become infected with COVID-19. This virus is twice as contagious as the flu. About 80 percent will not have severe concerns, but based on the current data, 20% of the infected will become severe or critical, needing some form of hospital care to do well. Currently, about 30 % of those who become classified as severe based on WHO classification, will not survive. These are the unfortunate realities at the moment.

Meanwhile, at Northwood Vision, we want to do as much as possible to minimize this risk, to prevent mortality and long term side effects, while doing our best to provide the services our patients need. We are convinced you care about these same things. (Read more)

Here is what we are asking you to do to make a smaller exposure footprint:

  1. If you have any symptoms of a cold or flu (coughing, fever, difficulty breathing, running nose, etc), please reschedule your appointment for at least one month from now.
  2. Try not to touch any surfaces in the office you do not have to touch.
  3. If you are trying on glasses, DO NOT put the frames back on the shelf. Rather, we will collect them from you for proper cleaning before they are returned to the shelves.
  4. If you are ordering contact lenses, a year supply (and some 6 month supplies) order can be direct shipped to your home at no cost. Please take advantage of this so you don’t have to come into the office more than necessary.
  5. If you do need to come into the office for an adjustment, please call the office at 727-725-5558 when you arrive in your vehicle. We will let you know if there is a wait and will put you on a list so we can call or text you to come therefore minimizing the time you are in the enclosed space of our office.
  6. Please come to your appointment with the least number of people possible to reduce exposure to them and to others at the office.
  7. If you have any loved ones that have been exposed to the virus or certainly if they have symptoms of a respiratory illness, please wear a mask in case you are an asymptomatic carrier, or if possible, wait at least 4 weeks before coming in for non-essential care.

In an effort to protect you, here is what we are doing to help lower your risk:

  1. All surfaces in the office will be cleaned several times per day with antiviral/antibacterial cleaner. Surfaces in the exam room will be cleaned thoroughly in between each patient.
  2. No sick or symptomatic staff will be permitted to work while sick with a known viral respiratory infection or symptoms, or while directly caring for a sick relative/friend.
  3. For your safety, payments can be done ahead of time over the phone if you call ahead. This will decrease the amount of time you are in the store and your exposure risk in our enclosed space.
  4. No glasses frames other patients try on will be put back on display until the frames are cleaned with an antiviral cleanser.
  5. We are actively asking patients to reschedule for 4 weeks later if they have any symptoms themselves or in their family/ social network.
  6. We are giving options for patients to acquire goods by mail rather than coming into the store.
  7. We altering our schedule to decrease the number of patients that might be in the office at the same time to maximize social distancing.
  8. We are practicing frequent hand washing at our office to protect you and each other.
  9. We will ask patients to reschedule if they present to our clinic with a cough or other COVID-19 symptoms.

Thank you for your patience and understanding during this stressful and trying time. Let us all work together to lower risk of the spread so that less people die and less people have permanent side effects from COVID-19. Each of us can do our part. May God bless each of you and keep you well. Thank you for your understanding and care for your fellow humans.

Dr. Christopher K. Keats, OD