Abstract
The cause of congenital ptosis is usually myopathy lifts the upper eyelid. Drop cap, which interferes with the optical axis of vision is a risk for the development of amblyopia.
In these cases, plastic surgery is indicated within 1 year of age. The aim of surgery is to achieve a symmetrical position of the eyelids and allow good conditions for the development of visual functions.
In severe ptosis eyelid using sling to reduce frontal muscle or eyelid lifts. Ptosis operate with a smaller degree later.
Effective treatment is resection of the tarsal cartilage. The specific approach requires blefarofimóza dominated by shortening the eyelids and epikanty.
Problematic is ptosis with Marcus - Gunn's syndrome, which is associated with aberrant innervation pterygoides ipsilateral m.