Ptosis Repair
Ptosis is the medical term for a drooping upper eyelid. When the eyelid falls low enough to block part of the pupil, it can significantly impair vision — and may be covered by insurance as a functional repair.
Understanding Droopy Eyelid
Ptosis occurs when the levator muscle — responsible for lifting the upper eyelid — stretches, weakens, or becomes detached from the eyelid. This allows the lid to fall lower than normal, partially or fully covering the pupil and reducing the visual field.
Patients with ptosis often compensate unconsciously by raising their eyebrows or tilting their head back — which can cause neck strain, headaches, and a chronically fatigued appearance.
Insurance Coverage: When ptosis measurably obstructs the visual field (confirmed by a formal visual field test), ptosis repair is typically covered by Medicare and most insurance plans as a functional procedure.
Common Causes of Ptosis
Age-Related (Involutional)
The most common cause. The levator muscle gradually stretches with age, causing the eyelid to droop slowly over time.
Congenital Ptosis
Present from birth due to underdevelopment of the levator muscle. Early repair is important to prevent amblyopia (lazy eye).
Neurological or Traumatic
Nerve damage (e.g., Horner's syndrome, 3rd nerve palsy) or direct eyelid trauma can also cause ptosis.
How Ptosis Repair Works
Levator Resection or Advancement
The most common approach shortens or re-attaches the levator muscle through a small incision hidden in the natural eyelid crease. The goal is to restore the eyelid to a height and contour that matches the other eye — improving both vision and appearance. The procedure is typically performed under local anesthesia on an outpatient basis.
What to Expect After Surgery
Swelling and mild bruising are normal and resolve within 1–3 weeks. Most patients can return to desk work within a few days. Eye drops are prescribed for infection prevention and inflammation control. A follow-up exam is scheduled within 1–2 weeks to assess healing and eyelid position.
Schedule Your Ptosis Evaluation
Dr. Shepler performs ptosis repair for both functional and cosmetic cases. We'll conduct a visual field test and full evaluation to determine your best course of treatment.