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My 4 Yr Old Had Frontalis Fascia Lata Sling Procedure and Want It Reversed

asked 8 months ago by devastated mom
Latest answer by Lawrence Kass, MD
Question viewed 113 times
Tags: age 17 or under, ptosis, child, options, reversal

My 4yr old son had ptosis in the right eye (3-4mm). The levator muscle was weak but most of the time people couldn't even notice the ptosis. We patched prior to the surgery but was told the vision was getting worse. Post surgery he blinks only with the good eye, when looking down the affected eye looks open so it looks very unnatural. I'm so devastated and want to know if it can be reversed. Please help me! I don't know how to post photos but can email it to anyone that can help me!

2 answers to My 4 Yr Old Had Frontalis Fascia Lata Sling Procedure and Want It Reversed

+1

Reversal of frontalis sling procedure in 4 year old

Certainly, you can have this procedure reversed. The better question to ask yourself is should you? Your child must develop normal binocular vision by age 6 and after this it is too late. A droopy upper lid often prevents this from occurring. Reversing the procedure at this age may result in PERMANENT loss of vision and this seems secondary to cosmetic concerns at this time. The concerns you relate are not complications of the procedure but actually are anticipated... more
Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

+1

Let's try to break this down with the limited information you have provided.

Your son has congential ptosis of the right eye that is severe enough that it is causing ambyopia (lazy eye). This occurs when visual development of the eye is imparied which can be caused by strabismus (misalignment of the eyes), congenital cataract, or a droopy eye lid that blocks or partially blocks the pupil, to name a few causes. There is a limited window for proper neurological development of the visual pathways. This makes early correction of this type of ptosis... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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