What can be done to treat Horner's syndrome? (photos)

I would see a neuro-ophthalmologist to confirm the horners syndrome and to localize where the problem is, this can usually be found with drops in the eye. I would not recommend Botox for this because it is a problem of the sympathetic nervous system. This nerve innervates a muscle called muellers muscle which raises your eyelid 2mm and also dilates your pupil(you will notice your pupil in that eye is smaller than the other if you have horners syndrome). I usually put my younger patients with his on Iopidine eye drops which stimulate this muscle making your eyelids equal. On adults I perform a surgery called a muellerectomy which permanently raises the eyelid. This is a neat procedure done from underneath the eyelid so there is no scar.

Hopefully there has been a thorough workup for this problem. If there is nothing concerning as the cause of this, surgery is the best way to help this. The problem is in the eyelid and Botox will only minimally help by raising the eyebrow.

You can consider micro-ptosis surgery via a posterior approach (under surface of the eyelid). By improving the right eyelid position there will be no compensatory frontalis muscle  overaction causing eyebrow asymmetry and left upper eyelid retraction. 

Thank you for your question Lquinn724. Horner's syndrome is a neurological condition characterized by pupil constriction (miosis), a droopy eyeid (blepharoptosis), and dryness or decreased sweating (anhidrosis). Botox can be used to elevate a droopy eyebrow, but not a droopy eyelid. Sometimes a side effect of Botox is a droopy eyebrow, which is treated with apraclonidine (Iopidine) 0.5% ophthalmic solution. Treatment for Horner's syndrome is best addressed by a neurologist. Please consult with a neurologist for specific recommendations. Good luck!

Thanks for your question. As you know, Horner's syndrome causes ptosis (a droopy eyelid), miosis (a constricted pupil) and anhidrosis (loss of sweating on one side of the face) caused from interruption of function of a nerve pathway.  Once a thorough evaluation on the cause of Horner's syndrome has been performed, ptosis repair is an option. There are techniques that are particularly effective for the ptosis seen in Horner's syndrome.I'd recommend seeking a consultation with an oculoplastic surgeon for an evaluation. Best of luck.