Multiple etiologies have been implicated in the pathogenesis of congenital ptosis (Kersten, Bartley, Nerad, et al. eds. Orbit, eyelids, and lacrimal system. Basic and clinical science course. 2001). In light of the wide array of mechanisms by which this problem arises, the management of congenital ptosis has traditionally proven somewhat difficult, and its repair necessitates accurate preoperative diagnostic assessment, careful consideration of one’s operative plan, and meticulous surgical technique. In this chapter, we review a variety of causes of congenital ptosis, discuss several hallmark diagnostic features, and outline a management strategy. A more extensive discussion of the individual steps inherent to each surgery can be found in greater detail in the “Surgical Treatment” section of this book.
KeywordsLevator Muscle Horner Syndrome Levator Function Levator Aponeurosis Congenital Ptosis
- 1.Meyer DR. Congenital ptosis. In: Nerad JA, editor. Focal points. San Francisco, CA: American Academy of Ophthalmology; 2001.Google Scholar
- 2.Kersten RC, Bartley GB, Nerad JA, et al., editors. Orbit, eyelids, and lacrimal system. Basic and clinical science course. San Francisco, CA: American Academy of Ophthalmology; 2001.Google Scholar