Which method is most likely to cause a ptosis?

• A. Blink Method
• B. Two-Finger Method
• C. DMV Method
• D. Suction Cup Method

Answer: (A)

Lid traction from manipulating the eyelid can lead to ptosis because it strains the structures that lift the upper lid, especially the levator aponeurosis. The Blink Method involves the eyelid being moved in a way that relies on rapid or forceful blinking to help dislodge or reposition the lens. This creates repeated traction on the lid margin and the muscles that elevate the lid, increasing the risk of stretching or microtrauma over time and producing droop or ptosis. The other methods generally rely less on repetitive lid traction and more on suction or gentler finger positioning, so they’re less likely to cause this traction-related complication. If ptosis were to develop, it’s important to review technique and avoid aggressive lid manipulation to protect lid function.