Do I have strabismus or ptosis? (Photos)

It appears that my eyes are not symmetrical in at least one way... thought it was ptosis now I'm thinking strabismus.... any help? What can I do? How effective are surgeries?

Doctor Answers 3

Mild Ptosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi stellap5,

Thanks for your question and photos. If you look at where the light reflexes are located on your eye, they appear to be well centered. In the absence of any history of childhood strabismus or new double vision issues, I would say you do not have strabismus. You do have mild ptosis of both upper eyelids. This responds quite nicely to ptosis repair surgery. The type of ptosis surgery you'd respond to depends on your clinical exam so I would recommend a consultation with a skilled oculoplastic surgeon in your area. Good luck!

Possible Ptosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Thank you for sharing your question and posting your photograph. You most likely have ptosis, which can be easily corrected by an experienced oculoplastic surgeon. Often, patients who have strabismus experience double vision. You should have an in-person evaluation to determine what the specific problem is. 

Good luck, 

Are you seeing double?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If your eyes are not aligned that would be strabismus.  Generally a new strabismus should immediately be assessed by an ophthalmologist.  You would know if you had childhood strabismus.   The photo demonstrates upper eyelid ptosis.  This would benefit from surgery.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

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.