IP International Journal of Ocular Oncology and Oculoplasty

Congenital ptosis: Etiology and its management

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Author Details: Anuradha Raj, Amit Maitreya, Harsh Bahadur

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 8

Article End Page : 13


The ptosis is drooping of the upper eyelid below its normal position 2mm below the superior corneal limbus in primary gaze. It may hinder partially or completely the upper visual field and cosmetically unacceptable. According to age of onset ptosis can be categorized as congenital or acquired. Congenital ptosis is if it is present at birth or diagnosed during the first year of life and can be treated by resection of the levator muscle aponeurosis and the frontalis suspension. The levator muscle function is the main parameter to decide the surgical technique. Frontalis suspension and the supra-maximal resection of the levator muscle is required with weak levator function but if its function is above 4 or 5mm, the resection of the levator aponeurosis is preferred.