Inflammation as an Etiology of Acquired Ptosis in Children

Abstract

Ptosis or blepharoptosis is the downward displacement of the upper eyelid caused by a dysfunction of the eyelid elevator. There are many etiologies which can cause ptosis including congenital ptosis, blepharophimosis, aponeurotic dehiscence, acquired third nerve palsy, traumatic structural ptosis, and inflammation.  To report a case of inflammation acquired ptosis in children. A Twelve year-old boy came to hospital with drooping of his right eyelid since 10 days before. There was no other complain on both eye. From the examination, visual acuity was 20/20 in both eyes. Ptosis examination for right eye/left eye, palpebral aperture 0/6mm, MRD1 0/1mm, levator function 0/14 mm. On the right eye there was restrictive movement to superotemporal gaze. For the anterior and posterior segment were normal for both eyes. In the head CT scan, there was no abnormality. In the laboratory test, there was increase in eritrosit sediment rate. We consulted the patient to the pediatric neurology department. The ptosis resolved after steroid administration. Inflammation can be the cause acquired ptosis in children and get respond very well with steroid administration.