upper eyelid ptosis exercises

[Lkam]

Hello, I am trying to develop levator palpebrae exercises (low-rep, isometric contractions) for congenital ptosis, because I do not want to go ahead with surgery. Assuming this is possible in my case, which gaze (upward or downward) should one adopt to allow the best contraction of the levator muscle, ie: where all possible motor units are recruited at once? I assume the recti muscles, when looking up, facilitate the upper eyelid to open, thus taking some of the slack and preventing the levator from working to its full potential. So maybe looking down would be most efficient?

Any other suggestions as to how to improve or develop such exercises would of course be very appreciated. Thanks!

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[physiobob]

Hello, I am trying to develop levator palpebrae exercises (low-rep, isometric contractions) for congenital ptosis, because I do not want to go ahead with surgery. Assuming this is possible in my case, which gaze (upward or downward) should one adopt to allow the best contraction of the levator muscle, ie: where all possible motor units are recruited at once? I assume the recti muscles, when looking up, facilitate the upper eyelid to open, thus taking some of the slack and preventing the levator from working to its full potential. So maybe looking down would be most efficient?

Any other suggestions as to how to improve or develop such exercises would of course be very appreciated. Thanks!

I wouldn't think looking up is going to help as much as down etc as a ptosis is an inability to close the eyelid. I have use muscle stimulation to assist with this following facial palsy. Also simple blinking type exercises would perhaps stimulate it more to close that would the moving of the actual eyeball.

If this condition is congenital did it develop or have you always had it? If you have had say 20 years of ptosis then I would think surgery is a good option. I have seen it succeed rather well in facial palsy's that don't fully recover.

Think of things that force the eyes to close automatically. These might help.. You could think laterally and perhaps shine some 'glaring' light into the eye to see if it makes them close as would happen when looking at the sun.

Additionally I would consult an orthoptist on working out the best exercises. They are afterall the 'physio's of the eyes' and they can offer very skilled and specific exercises.

[junior_physiotherapist]

] (upward or downward) should one adopt to allow the best contraction of the , when looking up, facilitate the upper eyelid to open, thus taking some of the slack and preventing the levator from working to its full potential. So maybe looking down would be most efficient?

Any other suggestions as to how to improve or develop such exercises would of course be very appreciated. Thanks![/QUOTE]

[junior_physiotherapist]

hallo LKMA,


REALLY WE NEED AN ANSWER REGARDING THIS ISSUE ,KEEP US UP TO DATES


REGARDS

[Physio-Oms]

Isnt't ptosis DROOPIN of the eyelid....hence the eye is already half closed....
I think correction of the disease that causes ptosis is what should be done...

[mrsadeghian20]

Hello, I am trying to develop levator palpebrae exercises (low-rep, isometric contractions) for congenital ptosis, because I do not want to go ahead with surgery. Assuming this is possible in my case, which gaze (upward or downward) should one adopt to allow the best contraction of the levator muscle, ie: where all possible motor units are recruited at once? I assume the recti muscles, when looking up, facilitate the upper eyelid to open, thus taking some of the slack and preventing the levator from working to its full potential. So maybe looking down would be most efficient?

Any other suggestions as to how to improve or develop such exercises would of course be very appreciated. Thanks!

i think that idc(incorporated direct current)to upper part of orbicularis muscle with low intensity can help you.

[gcoe]

incorporated direct current??? - do you mean interrupted direct current?

If so why would you do this?

Ptosis is not always due to a neuromuscular problem but when it is, it is an inablity to open the eyelid due to weakness of the levator palpabrae muscle. The upper fibres of the orbicularis occulii muscle is the direct antagonist of the levator palpabrae muscle

this seems a potentially dangerous form of electrical current to deliver to such a delicate part of the anatomy. It seems to me IDC carries considerable risk of harm

There is no evidence for this treatment for ptosis at least not as far as I can know - feel free to correct me if you know of such a clinical trial.

So we don't have any evidence for a treatment that is potentially risky and we are targeting the wrong muscle. Makes no sense to me.

[johnnash87]

Well, there are a large number of people like who do not want to undergo surgery . The reasons are various such as under-correction, dry eyes, glare, haze and many more. Bates-Method is a natural method of vision improvement which helps to gain a perfect eyesight.

Without glasses

[SPPAWA]

I wouldn't think looking up is going to help as much as down etc as a ptosis is an inability to close the eyelid. .

Ptosis is the inability to OPEN the eye lid. The levator palpabrae/sup tarsal muscle has dual innervation.
1. CNIII
2. Sympathetic via the superior cervical ganglion

Looking upwards with neck extension will activate reflexogenic drive through CNIII to levator palpabrae in the event there is no damage this nerve. CNIII also innervates the majority of the muslces involved with gaze. Do you also have a strabismus or a significant head tilt? Have you had any orbital trauma?

Alternatively, you could stand in front of something really scary let it shock you and drive the sympathetic pathway to the sup tarsal to crank up that eye lid.

Good luck with it. I agree with physiobob that an orthoptist of behavioral optometrist may be a good source of referral.

[andrewkruise]

I had ptosis since birth and have undergone ptosis surgery a couple of years back. During discussions with my Eye Specialist, I was made to understand that the only non-surgical treatment for ptosis are crutch glasses. I was not in favor of using crutch glasses and hence eventually underwent surgery for my droopy lids. Although quite satisfied with my surgery, I would have loved to try these above mentioned non-surgical methods. How effective are they anyways and does anyone have experience with them?

[KelcieLe]

You could try patch exercise and trataka exercise for Ptosis.