ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Celebrities with Ptosis

Updated on February 6, 2015

Ptosis /ˈtoʊsɪs/ (from Greek Ptosis or πτῶσις, to "fall")

Ptosis or Blepharoptosis refers to drooping of the upper eyelid and is also known by many names, it is usually known as "lazy eye", "droopy eye" and so on. It must not be mistaken with amblyopia, which is also called lazy eye, which is a disorder of the visual system in the brain.

Regardless of the cause, when ptosis obstructs vision, it is disabling. It may be classified as acquired (Usually in Older people) and congenital (if you are born with it). It can also be classified by the cause of the Ptosis.

There are two muscles that are involved in the elevation of the upper eyelid the levator palpebrae superioris and the Mueller's muscle. The levator palpebrae superioris contributes to most of the elevation of the eyelid, It contributes approximately 1 to 2 mm to the elevation of the upper eyelid while the Mueller's muscle contributes to the over-elevation of the eyelid when the individual becomes excited or fearful and leads to mild ptosis with fatigue or inattention.

Causes can be.

  1. Myogenic; This is when there is a problem with the muscles of the upper eyelid. This may be congenital or due to other diseases such as Myasthenia gravis.
  2. Aponeurotic; Which may be post-operative.
  3. Neurogenic; Problems, with the nerves that supply the muscles that open the eyelid
  4. Mechanical; This is when the dropping is caused by either swelling of the upper lid or by tumors
  5. Pseudoptotic.; This is due to lack of support due to a small eyeball, or lack of the eyeball.
  6. Botulinum toxin — It may be a complication of botulinum toxin (Botox) therapy when used in the treatment of blepharospasm (eyelid spasm) and cosmetic treatment of forehead. Up to 11 percent of patients treated for blepharospasm had ptosis as a complication.It generally resolves over three to four weeks usually.

Of note the ptosis may not be evident at all times and may become more evident during the day when the person becomes tireder, this may be benign or may be indicative of neuromuscular diseases such as Myasthenia gravis or rarely Lambert-Eaton myasthenic syndrome.

It may also be Pseudoptosis — An eyelid may appear ptotic due to its position with respect to the eyeball, and there are a number of causes for this, for example lid retraction of one eye may give the false appearance of ptosis in the opposite eye or in the In elderly patients, redundant eyelid skin may give the impression of ptosis.


Ptosis

In children, it is caused usually by myogenic dysgenesis (poor muscle development), but other causes such as birth trauma must also be ruled out

A few Landmarks

The palpebral fissure is the distance between the upper and lower eyelid at the axis of the pupil. The normal palpebral fissure measures 9 to 12 mm.

Another measurement reference can be done when a point source of light directed at the person's eye which will stimulate pupillary light reflex (when the pupil constricts). The distance from this reflex to the upper eyelid margin is called the margin reflex distance. The normal for this measurement is 4 to 5 mm. The margin reflex distance is often more helpful than palpebral fissure since lower lid position may vary individually.

The palpebral fissure and margin reflex distance provide an objective means of identifying ptosis and measuring its severity that may be useful in planning treatment


There are a few features that can possibly help identify the cause of the ptosis, but that goes beyond the scope of this hub.

Treatment

The treatment depends on the cause. For adults who do not want to undergo surgery, there are special glasses with a crutch attached that can be used to lift the lid.

The definitive solution for ptosis is surgery. There are many techniques and methods, all depending on the cause of the ptosis and the age of the patient and ultimately the surgeons preference.

Not all people with ptosis are candidates for surgery and all people opting for this option have to be assessed by an oculoplastic surgeon (eye plastic surgeon) who will examine the whole of the upper and middle part of the face to detect asymmetry, because asymmetry or a small eyeball can give a false or pseudo-ptosis.

The surgery is a day case surgery and you may have to look like a pirate for 2-4days.

Complications are minimal but can occur. These include

  1. Lagophthalmos or failure of the eye to close completely which may lead to dry eye, which may damage the cornea and may lead to blindness if, not corrected.
  2. Scarring from the surgery
  3. Deformity of the eyelid
  4. Asymmetry of the lid position

If you need more information you should see you ophthalmologist. This is very important for children with ptosis or any other abnormal looking eyes because they may have other conditions which have to be addressed, early on before it is too late to correct such a neurological disorders, amblyopia and others.

I am still skeptical about Paris, there are photos when it does seem evident
I am still skeptical about Paris, there are photos when it does seem evident

Tegan Quin on Ptosis

Others include Thom Yorke of Radiohead, and Lenny Kravitz.

Comments

    0 of 8192 characters used
    Post Comment

    • profile image

      Patty Ptosis 2 years ago

      Paris Hilton clearly is not faking her Ptosis, you can see kid pictures of her with obvious signs of it. But I will say that when she got out of jail it was less obvious, probably because she wasn't on a computer or a cellphone for excessive amounts of time, or she got more sleep than normal, resting her eye muscles a bit. I know if I get a good 8 hours of sleep, my ptosis is less apparent.

    • profile image

      Harjinder Paaji 2 years ago

      Its bad news to hear that celebs are also suffering from ptosis.

    • profile image

      Bridie hitches 3 years ago

      I have ptosis recently I have a constant infection in the ptosis eye. I have been told that if I have the operation I could have over correction?????? Any help

    • profile image

      Harjinder Paaji 3 years ago

      Great and a very useful blog for me. Thanks a lot for sharing the blog.

    • Majidsiko profile image
      Author

      Majidsiko 3 years ago from Kenya

      Intermittent Ptosis may be relayed to mysthenia gravis I suggest you get it checked out

    • profile image

      Laurie 3 years ago

      I get this 2 or 3 times a year and lasts about a month and a half then goes away. It drives me nuts!! Everyone is what's wrong with ur eye? I hate going anywhere when my eye gets like this. Driving is horrid. I have no health insurance so I have to deal with it!!

    • profile image

      Ken 4 years ago

      Stuart Scott has ptosis from a football injury while covering the Jets

    • profile image

      Stef 4 years ago

      British soul star Gabrielle has ptosis

    • profile image

      rozebow 6 years ago

      I have ptosis on one eye was born with it,and have had 3 surgeries it still is very hard to live with looks nothing like the other eye..

    • profile image

      fakename 6 years ago

      What about Tegan Quin?! She talks about it all the time! She even has this hilarious video where she tries very hard to keep a straight face and talk about her ptosis.

    • profile image

      Joshua 7 years ago

      There are cases where somebody's strabismus only shown up when tired.

      Mine only shows up after being behind a computer screen or when i'm tired, also stress may cause it.

    • profile image

      Lucy  7 years ago

      No this article isn't suggesting that shes FAKING IT. It is just not known for definate whether she has it or not because some photo's show her with a lazy eye like the one above. I very much doubt that Paris Hilton would even know what Ptosis is !

    • profile image

      kybelian 7 years ago

      WTF!? You hate Paris Hilton so much you suspect her of faking ptosis? Why? So she can be different?

    • katiem2 profile image

      katiem2 8 years ago from I'm outta here

      Now that you mention it...Great Hub. Thanks and Peace :)

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: "https://hubpages.com/privacy-policy#gdpr"

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)