It is possible for cervical spondylosis to cause the eyes to remain open. It is usually seen in sympathetic cervical spondylosis, which is caused by Horner’s syndrome due to compression of the sympathetic nerves by osteophytes, cervical disc herniation, and so on.
Sympathetic cervical spondylosis is a subtype of cervical spondylosis, which refers to the degenerative changes and hyperplasia of the cervical spine that stimulate the cervical sympathetic trunks on both sides of the cervical vertebrae, thus causing the sympathetic nerves to be excited or inhibited. One form of sympathetic paralysis that occurs as a result of sympathetic nerve inhibition is known as Horner’s syndrome.
Horner’s syndrome is characterized by pupillary constriction on the same side as the suppressed sympathetic nerve, ptosis, entropion, decreased intraocular pressure, and little or no sweating on the same side of the face. Ptosis is caused by paralysis of the levator ani muscle. Due to ptosis, the eye fissure is small, and the patient feels that he/she can’t open his/her eyes.
Once you have a ptosis, it is recommended that you seek immediate medical attention for a definitive diagnosis and targeted treatment.