Under-through levator complex plication for correction of mild to moderate congenital ptosis
. Ophthalmic Plast Reconstr Surg 2014;30:468-72.
Lee makes the following observation on surgical intervention: in congenital ptosis
, the levator muscle is infiltrated with fat and fibrosis and is basically non-functional, so the eyelid is most commonly suspended from the adjacent frontalis muscle using a sling.
Duane retraction anomaly, congenital fibrosis of extraocular muscles, horizontal gaze palsy, congenital ptosis
, and congenital facial palsy are the other disorders included in CCDD.
Various materials have been tried for brow suspension such as muscle tendon, preserved donor sclera, artificial materials that included catgut or silk sutures, wires of gold, silver or platinum metals, however the most widely used artificial material is polyfilament suture which is easy to handle with lesser incidence of complications.11-14 Brow suspension with autogenous fascia lata is considered as gold standard procedure for congenital ptosis
as it has a long-lasting effect for upper eyelid elevation.
There were 28 (7%) patients suffering from different congenital anomalies, of which cataract (28.57%) was most common followed by congenital nasolacrimal duct obstruction (21.43%) and congenital ptosis
The disorders belonging to CCDDs include Duane syndrome, Mobius syndrome, horizontal gaze palsy, congenital ptosis
and congenital facial palsy.
Current techniques in surgical correction of congenital ptosis
. Middle EastAfr.
Frontalis suspension is commonly performed in severe congenital ptosis
but can also be used in ptosis with neurogenic and myogenic causes.
Ophthalmologist opinion was obtained for ptosis and was opined as isolated congenital ptosis
. The condition was explained to the patient and his relatives.
Congenital eye malformations were seen in 2.2% which, comprised of congenital cataract (38%), congenital nasolacrimal duct obstruction (10%), congenital glaucoma (9%) and congenital ptosis
(8%).10 Our study has 22% frequency of congenital cataract and 20% for anomalies of nasolacrimal apparatus with 98% having nasolacrimal duct obstruction.
Unilateral congenital ptosis
: Compensatory head posturing and amblyopia.
Another reported feature of this syndrome is congenital ptosis
that in some cases may be associated with hypertelorism and telecanthus [Bamforth and Kaurah, 1992].