Is Difficulty In Opening Eyelids Post A Pacemaker Surgery Indicative Of Apraxia?

Posted on Sat, 26 Mar 2016

Question: My father is 68 years old. in last april he underwent pace maker surgery. since then he is facing eyelid dropping. On some days it just disappears but on others he faces problem in opening his eyelids which get closed for few sec. i searched on net and came to know about apraxia of eye lid. is this the case? is there any cure for it.

Answered by Dr. Suresh Heijebu (3 hours later)

Brief Answer:
Please provide further information

Detailed Answer:
Hello, XXXXXXX

I can understand your concerns.

As per his symptoms , this could possibly be an Apraxia.

I would like to know if you're father had any of the following.

1.Thyroid issues.?

2.Any steroids use?

3.History of Diabetes?

Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (4 days later)

ya he has all the three. as far as diabetes is concerned it remains under control. but he takes medicines for it.

Answered by Dr. Suresh Heijebu (17 hours later)

Brief Answer:
Isolated ALO has good outcome

Detailed Answer:
Hello, XXXXXXX

I apologize for the delayed response owning to my hectic work schedule.

As per your given history , the possibility of ALO -Apraxia of eyelid opening is present.

This can sometimes be related to a brain lesion or sometimes it can occur as an isolated condition.

Isolated ALO has good outcome.

This condition can be treated both medically as well as surgically.

The decision can be based on further testing. It's very important to rule out any brain cause through an MRI brain.

Additionally EMG(electromyography) is required for 2 eye muscles LPS and OO to confirm this condition and to start treatment.

ISOLATED ALO responds well to botox toxins and drugs like levodopa or valproate.

Please check with your physician If he shares my view and If can prescribe these tests and drugs to your father.

Post your further queries if any.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Suresh Heijebu (7 hours later)

thanks for the reply. i will discuss it with our doc. just wanted to know, it it a serious problem? actually the neuro surgeon we referred to was not able to make out the reason for such eye dropping. he says it ptosis.

Answered by Dr. Suresh Heijebu (20 hours later)

Brief Answer:
Condition isn't serious

Detailed Answer:
Hello, XXXXXXX

I apologize for the delayed response considering my hectic work schedule.

This isn't a serious condition XXXXXXX

Isolated ALO has very good prognosis.

Only thing which he require now is an MRI brain and EMG of LPO and OO eye muscles to plan further management.

Post your further queries if any.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar