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My daughter has congenital ptosis.  Will she develop normal vision?

Congenital ptosis is the most common cause of ptosis in children.  It is due to an abnormal development of the levator muscles of the lid.  As a result, the upper lid is droopy, covering part if not the whole cornea, and the upper lid fold is absent.  Due to the close embryological development of the levator muscle and the superior rectus muscle, it is not surprising to see an associated difficulty in elevating the eyeball in patients with congenital ptosis.  There is also lid lag on downgaze. It is commonly unilateral, but bilateral cases can also be seen.  There is no well-defined pattern of heredity.

Ptosis in children can produce dense amblyopia, particularly if it is unilateral, wherein one eyelid interferes with the visual axis or induce astigmatism on the affected eye.  Even mild ptosis can induce astigmatism and cause secondary amblyopia.  It is believed that children with congenital ptosis develop abnormal head posture such as chin elevation to compensate for the droopy eyelid and to obtain binocular fusion. 

Children with congenital ptosis need to be seen by a pediatric ophthalmologist for evaluation of their visual potential.  These children need to be refracted and given glasses if a significant astigmatism is present.  Then, amblyopia treatment should be started as soon as the refractive correction is given.  Ptosis surgery, using either fascia lata or silicone tube, is the final step in the management.

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EYE REPUBLIC Ophthalmology Clinic

Manila

3/F Don Santiago Building Units 309-310

1344 Taft Avenue, Ermita

Manila, 1000 Philippines

Direct and Fax: (632) 536-2398

Trunk Line: (632) 523-8271 to 79 local 30

Mobile: (63917) 899-2020

Map and directions 

EYE REPUBLIC Ophthalmology Clinic

Asian Hospital and Medical Center

5/F Medical Office Building (MOB) Suite 509

2205 Civic Drive, Filinvest, Alabang

Muntinlupa City, 1781 Philippines

Direct: (632) 771-9253

Direct and Fax: (632) 771-9254

Mobile: (63917) 795-2020

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EYE REPUBLIC Ophthalmology Clinic

Medical City

6/F Medical Arts Tower Inc (MATI) Suite 602

MERALCO Compound, Ortigas Avenue

Pasig City, 1604, Philippines

Direct and Fax: (632) 632-7846

Mobile: (63917) 537-2020

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EYE REPUBLIC Ophthalmology Clinic

St. Luke's Medical Center

6/F Cathedral Heights Building Complex (CHBC)

North Tower Suite 614

279 E. Rodriguez Sr. Boulevard

Quezon City, 1102 Philippines

Direct and Fax: (632) 407-3883

Mobile: (63917) 855-2020

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 CONGENITAL PTOSIS information compiled by Dr. Barbara L. Roque and initially uploaded on June 12, 2005.

Last updated on September 20, 2007.

 

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