Neurogenic |
Oculomotor / cranial nerve 3 dysfunction |
Horner's syndrome / oculosympathetic paresis |
Myasthenia gravis / ocular myasthenia subtype |
Guillain-Barré syndrome / Fisher's variant |
Multiple sclerosis |
Cluster headache |
Ophthalmoplegic migraine |
Marcus Gunn jaw-winking syndrome |
Botulism |
Myogenic |
Congenital ptosis |
Congenital fibrosis of the extraocular muscles |
Chronic progressive external ophthalmoplegia / Kerns-Sayre syndrome subtype |
Muscular dystrophy |
Oculopharyngeal muscular dystrophy |
Mechanical |
Eyelid tumors |
Cicatricial processes (ocular cicatricial pemphigoid, Stevens-Johnson syndrome) |
Dermatochalasis |
Brow ptosis |
Floppy eyelid syndrome |
Pseudoptosis |
Enophthalmos (orbital fracture, scirrhous tumor) |
Contralateral lid retraction (thyroid eye disease) |
Contralateral proptosis |
Hypotropia |
Irritative (secondary to conditions affecting the ocular surface) |
Giant papillary conjunctivitis second to contact lens wear |
Squinting or guarding from ocular surface disease (corneal erosion, abrasion, infiltrate, ulcer) |
Iatrogenic |
Botulinum toxin injection |
Following cataract surgery or trabeculectomy |
Traumatic (can be neurogenic, myogenic, or aponeurotic) |