Physical Examination
- Look at patient in static position, for asymmetry of eyelid line in comparison to iris
- Brow ptosis presents with heavier eyelids, but the lid line remains correct
- Where there is a fold between the eyelid and forehead, check it for either the brow or lid dropping. If the brow has dropped, you may also notice less lid on the affected side.
- Movement: ask patient to raise both brows to see if frontalis is affected unilaterally
- Ask patient to follow finger and move upwards, lid ptosis may be more obvious when looking up
