This guideline last updated 06/05/2022 17:42:53

Differential diagnosis

• Myasthenia gravis
• Congenital ptosis
• Neurogenic ptosis (palsy)
• Angioedema (mechanical ptosis)
• Horner’s syndrome
• Jaw-winking syndrome

Possible management by Optometrist

Treatment

• None

Advice

• Surgery available if visual axis obscured, field loss, or significant asymmetry

Management Category

• Refer if visual axis obscured, field loss, or significant asymmetry

Possible management by Ophthalmologist

• Surgery if significant ptosis