Before clinic on Monday, I had never heard of ptosis which is a condition where the eyelid muscles don’t function. In most cases, the sagging upper eyelid results in a loss of the superior (upper) field of vision. In severe cases, ptosis may be present at birth and, if left untreated, can permanently damage vision by forcing the unaffected eye to do all the work while letting the affected eye degenerate. The repair is made by removing a ligament from the wrist and threading it through the eyelid, attaching it to the frontal muscle on the forehead. By raising the eyebrows, the eyelids can then move.
Today Susan Hayes and I went on a shopping excursion to buy sunglasses and baseball caps with visors for the 20 ptosis patients when they are discharged. Most of them will travel home on the back of a motorbike or bicycle and we needed to devise a way to keep their healing eyes protected from the dust and dirt of the road.