Young Son w/ Congenital Ptosis - Has Surgery Failed?

He had surgery to correct the ptosis in August 2010 at 17 months old. He was unable to close his eye after surgery. But as the swelling went down and with time his eye started to close more. To it only being slightly open when he was asleep. He has to have 2 hourly drops in his eye. I have noticed recently that his eye appears to be drooping more and his pupil is half covered most of the time. It is worse when he is tired. has the surgery failed? It is only his left eye that is affected.

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3 Doctor Answers | Asked by Kris001 in lincoln, lincolnshire

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Ptosis of eyelid in your child is a complex problem.

The surgery has absolutely not failed but please realize that this is one of the most complex and sifficult problems in plastic surgery. Patients with congenital ptosis often undergo many surgeries befor a pleasing reslut is attineed. Just be confident that a pleasing result is possible and will be attine for your son. There are many possible procedures and I recommend you see two opthalmic plastic surgeons and two ABPS-FACS surgeons for opinions. Do nt rush.... more

Congenital ptosis

It appears there is still ptosis present. It is possible that the surgery has failed. (If it was originally a frontalis sling procedure, sometimes the sling breaks.) Recommend consultation with an oculoplastic surgeon. Dr Taban

It is a normal effect of ptosis surgery not to be able to close the eye completely

It is a normal effect of surgery not to be able to close the eye completely. It often gets better with time but may be a permanent side effect to the surgery. It is not usually dangerous or harmful in children. Usually it is a good trade off for having the lid higher, particularly if the eyelid is blocking vision. But, you should go back to your doctor to make sure there is no problem.. It often gets better with time but may be a permanent side effect to the surgery. It is not usually... more