If I had Congenital eyelid ptosis, wouldn't my Optometrist have diagnosed by now?
Is it considered a normal thing to be born with? Is it common for babies to be born with it if it doesn't effect there vision?
Is the cost for this surgery covered by health insurance? What if u have congenital eyelid ptosis but it doesn't affect your vision would it be covered?
Doctor Answers 6
You do not appear to have congenital ptosis
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I recommend that you see a board certified plastic surgeon or opthamologic plastic surgeon to determine whether you actually have eyelid ptosis. Your pictures don't show enough to make any diagnosis. A plastic surgeon meeds to examine you personally to determine exactly how much eyelid drooping is present and whether it is bilateral. Also the surgeon needs to see you to determine the strength of the muscle that lifts your eyelids and whether you would benefit from any surgery.
Of course, your optometrist is not qualified to diagnose or deal with these problems.
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Optometrists are great for what they are trained for.
The surgery is sometimes covered by insurance. It is more likely to be covered if it is blocking some of your vision. The test to determine that is called a visual field test, or Goldmann visual field test. This can be done at an ophthalmologist's office. If it isn't blocking your vision, your insurance may consider it cosmetic. It can usually be repaired with a 20 minute procedure that can even sometimes be done right in the office. Best of luck.
Congenital eyelid ptosis
- An optometrist fitting you for glasses would not necessarily diagnose congenital ptosis.
- Congenital ptosis is uncommon but known to occur.
- If you need surgery, your insurance company will be able to tell you correction is covered.
- Now that Obamacare requires insurers to pay for preventive care in normal people, insurance companies are paying less for non-emergent medical conditions. Your insurer will be able to tell you what criteria you must meet to be considered insurance-eligible for surgery. Best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.