Heavy Eye vs. Sagging Eye Syndrome

In this discussion from the Academy’s Committee on Aging, Drs. Andrew Lee and Prem Subramanian discuss the differences between heavy eye syndrome and sagging eye syndrome. The presenting complaint for both conditions is typically painless double vision. Sagging eye syndrome often occurs in elderly patients who are 70 years or older, and their symptoms include mild to moderate distance esotropia with full abduction, and a high lid crease or ptosis. By contrast, heavy eye occurs earlier in life in high myopia patients who often show greater esotropia without ptosis.

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