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Warning-sign checks

Eyelid drooping: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if the drooping occurs with possible stroke symptoms, such as:

    • Weakness or numbness on one side
    • A new facial droop affecting the mouth
    • Trouble speaking or understanding speech
    • Sudden loss of balance or coordination
    • A sudden, severe, unusual headache
    • Loss of consciousness or severe confusion
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent same-day medical assessment for eyelid drooping that begins suddenly, even if it is not painful.

    This is especially important if you also have double vision, unequal pupils, new eye-movement difficulty, eye pain, headache, or neck pain.

    Children with a drooping eyelid should be assessed promptly, particularly if the lid covers the pupil or the child tilts their head to see.

  3. 3

    Does any of this apply?

    Book an appointment

    Book a routine appointment if the drooping is new but gradual, keeps returning, is getting worse, or interferes with reading, driving, or other activities.

Every sign above is quoted from the sofidex article on Eyelid drooping. If you are not sure, err upward — it is always reasonable to be checked.