Eyelid Ptosis (Surgical Management)

Drooping of upper eyelid

Threshold

Norfolk and Waveney Integrated Care Board (ICB) will only fund surgical treatment of Eyelid Ptosis for patients if the following criteria can be met:

• Patient has objective demonstration of visual field restriction within 20 degrees of fixation on visual field testing

AND/OR

• There is abnormal compensatory head posture
• There are symptoms related to ptosis e.g. headache, neck pain and back ache

Children with Ptosis should continue to be referred as normal as the condition may cause Amblyopia. Also any rapid onset Ptosis in adults and children where there is a suspicion of a neurological problem such as Horner’s Syndrome should not wait for a visual field test.

This procedure is not funded on cosmetic grounds alone

Cases for Individual Funding Consideration (Patients who do not meet the policy criteria)

On a case to case basis, patients might be eligible for surgical intervention, in consideration of their exceptionality. The requesting clinician must provide information to support the case for being considered an exception, by submitting an individual funding request.