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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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OCULOPLASTICS AND PEDIATRIC OPHTHALMOLOGY UPDATE
Year : 2010  |  Volume : 17  |  Issue : 2  |  Page : 129-133

Current techniques in surgical correction of congenital ptosis


Department of Ophthalmology, Division of Oculoplastic and Orbital Surgery, Rocky Mountain Lions Eye Institute, University of Colorado, Aurora, CO, USA

Correspondence Address:
Vikram D Durairaj
Associate Professor of Ophthalmology and Otolaryngology -Head and Neck Surgery, Director of Oculoplastic and Orbital Surgery, University of Colorado, Mail Stop F731, 1675 Aurora Court, Aurora, CO 80045
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.63073

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Ptosis refers to vertical narrowing of the palpebral fissure secondary to drooping of the upper eyelid to a lower than normal position. Ptosis is considered congenital if present at birth or if it is diagnosed within the first year of life. Correction of congenital ptosis is one of the most difficult challenges ophthalmologists face. Multiple surgical procedures are available including, frontalis sling, levator advancement, Whitnall sling, frontalis muscle flap, and Mullerectomy. Selection of one technique over another depends on the consideration of several factors including the surgeon experience, the degree of ptosis in the patient, as well as the degree of levator muscle function. Current recommendations for the correction of congential ptosis vary based on clinical presentation. Advantages and disadvantages of each of these procedures are presented with recommendations to avoid complications.


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