Question: Hi There. Let me start by saying that my wife is a severe hypochondriac. We shuffle from disease to disease that she may have. We get a solid answer - and then she feels better until the next round. It's a personal hell that she is trapped in with her mind. This time it is about her eyes. It all started when she noticed an "extra" line above the normal creases on the eye lids. The extra line is her eyelid skin sinking where the eye socket is. So she was fixated on this for a week thinking that her eyelids were losing their muscles. Which I told her that doesn't even make sense. If anything the skin would not be sinking into the eyes socket if the muscles are weak - wouldn't they be taught because the eyelid is hanging down? Anywho - She found that dehydration can cause that line to form. She drank a normal amount of water for two days and it disappeared. She was feeling pretty good but decided to keep her Ophthalmolgist thinking the Dr. was going to tell her 100% no way you have Petosis or the bigger one she is afraid of myasthenia gravis. The Dr. measured her eye lids and the difference between the two is 1mm. 1mm! I looked at my eye lids and they are not exactly the same either. Her concern is that what if this is the beginning of Petosis which can lead to the MG. Backstory - she has been to three neurologists - all her bloodwork is perfect. Not only does she have extensive bloodwork from the neurologist - she has all perfect bloodwork from a rheumatologist too. The neurulologist is doing a follow up in a few months too so she is worried about that as well. But - currently - the main crippling point of concern is that her eyelids are starting to droop down - which is the petosis - and then that will turn into the MG. Any advice for us? It is totally normal for people to have eyelids that can be 1mm off?

Hi There. Let me start by saying that my wife is a severe hypochondriac. We shuffle from disease to disease that she may have. We get a solid answer - and then she feels better until the next round. It's a personal hell that she is trapped in with her mind. This time it is about her eyes. It all started when she noticed an "extra" line above the normal creases on the eye lids. The extra line is her eyelid skin sinking where the eye socket is. So she was fixated on this for a week thinking that her eyelids were losing their muscles. Which I told her that doesn't even make sense. If anything the skin would not be sinking into the eyes socket if the muscles are weak - wouldn't they be taught because the eyelid is hanging down? Anywho - She found that dehydration can cause that line to form. She drank a normal amount of water for two days and it disappeared. She was feeling pretty good but decided to keep her Ophthalmolgist thinking the Dr. was going to tell her 100% no way you have Petosis or the bigger one she is afraid of myasthenia gravis. The Dr. measured her eye lids and the difference between the two is 1mm. 1mm! I looked at my eye lids and they are not exactly the same either. Her concern is that what if this is the beginning of Petosis which can lead to the MG. Backstory - she has been to three neurologists - all her bloodwork is perfect. Not only does she have extensive bloodwork from the neurologist - she has all perfect bloodwork from a rheumatologist too. The neurulologist is doing a follow up in a few months too so she is worried about that as well. But - currently - the main crippling point of concern is that her eyelids are starting to droop down - which is the petosis - and then that will turn into the MG. Any advice for us? It is totally normal for people to have eyelids that can be 1mm off?

Thank you Dr. Very helpful. Just a few follow up questions she wanted me to ask her local Dr. here...

1) Could she have a "slight" case of ptosis and it be from another cause like the dog knocked her in the eye one time extremely hard? Stress seems to be on the list.

2) How common is ptosis (I know - she is not showing any real signs) and can you just have the ptosis and not have a medical problem or disease along with it. Simply just a droopy eye or does every case / some cases / rarely does a case also accompany another disease like the MG?

Thank you for your patience. You will get a great review.

Thank you Dr. Very helpful. Just a few follow up questions she wanted me to ask her local Dr. here...

1) Could she have a "slight" case of ptosis and it be from another cause like the dog knocked her in the eye one time extremely hard? Stress seems to be on the list.

2) How common is ptosis (I know - she is not showing any real signs) and can you just have the ptosis and not have a medical problem or disease along with it. Simply just a droopy eye or does every case / some cases / rarely does a case also accompany another disease like the MG?

Thank you for your patience. You will get a great review.