{
  "schema_version": 1,
  "kind": "condition",
  "id": "eyelid-symptoms",
  "name": "Eyelid symptoms (abnormal blinking, drooping eyelid)",
  "category": "chronic",
  "sources": "Blepharitis - StatPearls (NCBI Bookshelf NBK459305) - https://www.ncbi.nlm.nih.gov/books/NBK459305/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FS09 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Eyelid symptoms (abnormal blinking, drooping eyelid) - disease-level clinical article (eyelid-symptoms-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 719,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Broad symptom bucket covering abnormal blinking and ptosis (drooping eyelid). Ptosis in particular can be a sign of serious neurological or neuromuscular disease, so there is no single drug for this code; the GP's job is recognising which presentations need urgent work-up versus routine ophthalmology referral.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Broad symptom bucket covering abnormal blinking and ptosis (drooping eyelid). Ptosis in particular can be a sign of serious neurological or neuromuscular disease, so there is no single drug for this code; the GP's job is recognising which presentations need urgent work-up versus routine ophthalmology referral.",
      "cautions": [
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - If severe ptosis is not detected and treated on time, it can lead to severe amblyopia and torticollis.",
        "RED FLAG - Sudden ptosis, especially with double vision or a dilated pupil (possible third cranial nerve palsy or stroke - an emergency), or ptosis that worsens through the day or with fatigue (suggests myasthenia gravis): refer urgently."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "eyelid-symptoms"
    }
  ]
}