Can My Eyelid Ptosis Certificate Qualify for Re-evaluation?

Can I apply for a review with my proof of ptosis?

The doctor issued a certificate stating that I have bilateral ptosis, with the upper eyelid position being -1mm from the light reflex.
However, my friend mentioned that the certificate needs to match the wording used by the Ministry of National Defense for it to be eligible for re-examination.
The Ministry's requirement states that "bilateral ptosis with upper eyelid muscle function of less than 5mm." Is my current certificate sufficient, or should I ask the doctor to write another one? Please let me know, thank you.

抱歉, 20~29 year old female. Ask Date: 2004/09/15

Dr. Cai Yuyuan reply Ophthalmology

"The distance from the upper eyelid to the light reflex in millimeters" and "upper eyelid muscle function" are two different assessment methods, but both are related to the evaluation of ptosis.
Of course, assessing "upper eyelid muscle function" based on positional determination is a more appropriate method for positional assessment.
Therefore, it is recommended that you visit the hospital for further examination and write the diagnosis report only after meeting the criteria.

Reply Date: 2004/09/15

More Info

When it comes to eyelid ptosis, the evaluation and certification process can be quite specific, particularly when it involves military or governmental standards. In your case, you have a certificate indicating that you have bilateral eyelid ptosis, with the upper eyelid position being -1mm from a light point. However, your friend mentioned that the certificate needs to align with the standards set by the Ministry of National Defense, which states that for a re-evaluation, the upper eyelid muscle function must be less than 5mm.

To address your question, it is essential to understand the criteria used for evaluating eyelid ptosis and how they relate to your specific situation. The measurement of eyelid position is crucial, but so is the functional aspect of the eyelid muscles. The standard you mentioned from the Ministry of National Defense likely emphasizes the functional impairment of the eyelid muscles, which is a significant factor in determining the severity of ptosis and the need for surgical intervention or further evaluation.

1. Validity of Your Current Certificate: Your current certificate indicates the position of your eyelids, but it does not provide information about the function of your eyelid muscles. If the standard for re-evaluation requires a specific measurement of muscle function (less than 5mm), then your current certificate may not be sufficient for the re-evaluation process. It is advisable to consult with your physician to clarify whether the current certificate meets the necessary criteria for the re-evaluation.

2. Consulting Your Doctor: If your doctor is willing to provide additional documentation, it may be beneficial to request a new certificate that includes both the position of your eyelids and the functional assessment of your eyelid muscles. This comprehensive approach will ensure that all necessary information is presented in accordance with the standards required by the Ministry of National Defense.

3. Understanding the Implications: If your eyelid ptosis is significant enough to affect your vision or daily activities, it may warrant surgical intervention. The evaluation process is not just about meeting bureaucratic standards; it is also about ensuring that you receive the appropriate care based on the severity of your condition. If your eyelid position and muscle function indicate a need for surgery, it is crucial to have that documented correctly.

4. Next Steps: I recommend scheduling an appointment with your ophthalmologist or the specialist who issued your current certificate. Discuss your concerns about the re-evaluation process and the specific requirements set by the Ministry of National Defense. They can provide guidance on whether a new certificate is necessary and what information it should include.

In summary, while your current certificate provides some information about your condition, it may not fully meet the criteria for re-evaluation if it lacks details about the functional aspect of your eyelid muscles. Consulting with your doctor for a more comprehensive assessment and documentation will be the best course of action to ensure that you meet the necessary requirements for re-evaluation.

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