Ptosis : its diagnosis and value as a localizing symptom / Alison Bradburne.

  • Bradburne, Alison.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Ptosis : its diagnosis and value as a localizing symptom / Alison Bradburne. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    PTOSIS: ITS DIAGNOSIS AND VALUE AS A LOCAL- IZING SYMPTOM. By Alison Bradburne, P.E.C.S. Ophthalmic Surgeon to the Hydropathic Hospital, Southport, the Ormskirk Dis- pensary and Cottage1 Hospital, late Clinical Ophthalmic Assistant Moorfields, London, etc. SOUTHPORT, LANCASHIRE, ENGLAND. Ptosis (blepharoptosis) manifests itself by a drooping of the upper lid. According to the degree of ptosis, the vision is more or less interfered with, and to overcome it the frontalis muscle is brought into action so that the eyebrows become elevated and the head thrown back when the patient desires to overcome the defect. As ptosis is a symptom, and frequently an early and solitary one, of many affections, it is, therefore, of value as a guide to diagnosis. Classification.—All cases of ptosis can be put under one of two heads, viz.: congenital ptosis and acquired ptosis, these again being- subdivided according to the cause which gives rise to it, and, in ad- dition, the condition may be unilateral or bilateral. CONGENITAL PTOSIS. ' This condition is usually bilateral and often associated with other congenital anomalies; it may be due to one of the following conditions: (1) Absence of or deficiency in the development of the levator muscle. (2) Absence of or deficiency in the develop- ment of the levator muscle, but associated with an absence of or deficiency in development of the superior rectus muscle of the same eye. (3) Absence of or deficiency in the development of the portion of the third nerve supplying the levator. (4) In cases known as congenital epicanthus associated with a narrow palpe- bral fissure. (5) In certain cases associated with sympathetic movements of the lower jaw. The ptosis which occurs in these