For congenital ptosis, you may want to consider a "frontalis sling." This is great for this type of ptosis, and involved connecting the forehead muscle to the eyelid to keep it opened. I would have to examine you in person to determine the best solution, but this is probably what I would... more
Procedure to repair congenital eye ptosis for a child?
My 2 year old daughter has a severe congenital ptosis in her left eye. She was operated when she was two weeks old because the lid was completly closed. They did the resection of the levator muscle and opened the lid a bit. When she was one year old, she had a second resection of the levator muscle because it was very thin and the lid came over her pupil again, so they tightened it a bit more. Now her vision is okay and she is wearing an eye patch for 3 hours daily. Is there any cosmetic surgery that can make her eyes equal? Which procedure would you reccomend? At what age?
4 answers to “Procedure to repair congenital eye...”
A: Symmetry of eyelids
The most important thing to note in your child's journey is the fact that her vision is good. Function always comes before cosmetics. That being said, eyelid symmetry is not perfect in most people if you look for this specifically. Be OK with that fact. The lid position is really a balance between opening... more
A: This requires specialized training and is not considered cosmetic
Dear Nani The first and primary issue with your child is amblyopia. Presumably, she is seeing a pediatric or general ophthalmologist who is managing the eye patching. This forces the left eye to work despite the presence of an eyelid that substantially obstructs the visual axis. As noted in the other responses... more
A: Congenital ptosis and the frontalis sling procedure
Procedures for congenital ptosis depends on the function of the levator muscle. Most congenital cases have severe muscle weakness(less than 3mm of function tested by moving the upper eye lid upwards). In these cases, levator resection will not work well because the "motor" which is the levator... more
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