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What can drooping one eyelid and double vision mean? Should you go to an ophthalmologist or a neurologist with this problem? Could these be symptoms of some serious medical condition?

Dropping of the eyelidmay be associated with the weakening of the levator eyelid muscle and indicate damage to the oculomotor nerve, the levator eyelid muscle or the nerve nucleus in the brain. The so-calleddouble visionis a symptom of paralysis of the muscles responsible for eye movements or damage to their innervation or the centers responsible in the brain.

If ptosis occurs along with diplopia, damage to the oculomotor nerve may be suspected.

If the narrowing of the eyelid gap is accompanied by a constriction of the pupil and the collapse of the eyeball, you should think about the so-called Horner's syndrome, i.e. damage to the sympathetic system within the spinal cord, or compression of the sympathetic trunk, e.g. by a lung tumor.

In such a situation, you should go to a neurologist as soon as possible so that a specialist recognizes the cause of the ailments.

Common causes of drooping eyelids:

Such symptoms may occur with damage to the central nervous system, including:

  • tumor,
  • stroke,
  • multiple sclerosis,
  • aneurysm;
  • myasthenia gravis or in the so-called myasthenic syndromes;
  • may accompany diabetes or other related diseases.
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